ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
Question 1 of 5
A nurse is providing instructions about a 24-hr urine collection to an adolescent client. Which of the following should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Discard the first voided specimen. This is because the first voided specimen may contain residual urine from the bladder that has been sitting for an extended period, which could skew the results of the 24-hour urine collection. By discarding the first voided specimen, the nurse ensures that the collection accurately represents the urine produced over the 24-hour period.
Choice A is incorrect because there is no need to cleanse the perineum with a povidone-iodine solution prior to voiding for a 24-hour urine collection.
Choice B is incorrect because all urine collected during the 24 hours should be stored in the same container to accurately measure the total output.
Choice D is incorrect because voiding every hour would not result in an accurate 24-hour collection.
Question 2 of 5
A nurse is providing discharge teaching to a parent of a child who has juvenile idiopathic arthritis and a new prescription for prednisone. Which of the following statements should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Monitor your child for indications of infection. Prednisone is an immunosuppressant medication that can increase the risk of infections. Teaching the parent to monitor for signs of infection is crucial for early detection and prompt treatment.
Choice B is incorrect because abruptly discontinuing prednisone can lead to withdrawal symptoms and worsening of the condition.
Choice C is incorrect as prednisone can cause low potassium levels, so limiting potassium-rich foods is not recommended.
Choice D is incorrect as prednisone can actually slow down growth in children.
Extract:
A nurse is caring for a client who is postoperative following placement of a halo vest to manage a cervical vertebral fracture.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Reposition the client using a turning sheet. This action is essential to prevent pressure ulcers and maintain skin integrity in clients with a halo device. Repositioning helps redistribute pressure, improve circulation, and reduce the risk of skin breakdown. Encouraging neck flexion and extension (
A) can be harmful with a halo device. Assessing pin sites (
B) and tightening screws (
C) should be done by qualified healthcare providers to prevent complications.
Extract:
A nurse is providing discharge teaching to the parents of a school-age child following surgery and cast application to the right forearm.
Question 4 of 5
Which of the following information is the priority for the nurse to include?
Correct Answer: C
Rationale: The correct answer is C: Monitor for pallor or swelling in the child's affected hand. This is the priority because it indicates potential complications like impaired circulation or infection, which can be serious. Restricting activities (
A) is important but not as critical as monitoring for complications. Using a hair dryer (
B) can cause burns or damage to the cast. Examining for skin irritation (
D) is important but not as urgent as monitoring for circulation issues.
Extract:
Question 5 of 5
A nurse is assessing a 4-month-old infant during a well-baby visit. For which of the following findings should the nurse notify the provider?
Correct Answer: D
Rationale: The correct answer is D: No head lag when pulled to a sitting position. This finding is concerning because head lag typically disappears by 4 months. The nurse should notify the provider as this may indicate a developmental delay or muscle weakness.
A: Positive Babinski reflex is normal in infants and typically disappears by 1 year.
B: Presence of tears when crying is a normal physiological response in infants.
C: Doll's eye reflex is normal and helps assess the brainstem function.
E, F, G: No other choices provided.