ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
Adolescent client
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 important because the first void may contain residual urine from the previous day, so discarding it ensures an accurate 24-hour collection. Saving the final specimen separately (
A) is unnecessary and may lead to inaccurate results. Cleansing the perineum with povidone-iodine (
B) is not required for a urine collection. Voiding every hour (
D) would disrupt the 24-hour collection process.
Extract:
Child acting aggressively toward staff
Question 2 of 5
A nurse is applying soft limb restraints to a child who is acting aggressively toward staff. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Secure the restraints with a quick-release knot. This is important for safety reasons as quick-release knots allow for rapid removal in case of an emergency or if the child needs immediate assistance. Using a quick-release knot ensures that the restraints can be easily and quickly undone without causing harm to the child. This is crucial in situations where quick intervention may be necessary.
Explanation for other choices:
B: Assess the child every 4 hr while in restraints - While assessment is important, every 4 hours may not be frequent enough for a child in restraints.
C: Request that the provider renew the prescription for restraints every 48 hr - While renewing prescriptions is necessary, this choice does not address the immediate safety concerns related to securing the restraints.
D: Tie the restraints to the side rails of the child's bed - Tying restraints to side rails can be dangerous as it restricts movement and can lead to injury or entrapment.
Extract:
Child at end-of-life stage
Question 3 of 5
A nurse is caring for a child on a pediatric unit who is at the end-of-life stage. Which of the following actions should the nurse take to help the sibling cope with the child's diagnosis?
Correct Answer: A
Rationale: The correct answer is A: Consult the Child Life Specialist to speak with the sibling. This is the best option because Child Life Specialists are trained to help children cope with illness and loss. They can provide age-appropriate explanations, emotional support, and coping strategies for the sibling. This will help the sibling process their feelings and understand what is happening in a safe and supportive environment.
Summary of incorrect choices:
B: Discouraging the sibling from talking about their feelings is not helpful as it can lead to emotional suppression and increased distress.
C: Limiting the sibling's time at the hospital may isolate them from the child and prevent them from saying goodbye or being involved in the process.
D: Having the sibling leave the room during the child's care can disrupt the sibling bond and prevent them from being present for their sibling in a difficult time.
Extract:
18-month-old toddler during a well-child visit
Question 4 of 5
A nurse is assessing an 18-month-old toddler during a well-child visit. Which of the following findings should the nurse identify as a potential developmental delay?
Correct Answer: C
Rationale: The correct answer is C: Walks with assistance. At 18 months old, toddlers should be able to walk independently. Walking with assistance at this age could indicate a potential developmental delay in gross motor skills. This milestone typically occurs around 12-15 months. Engaging in parallel play (
A) is normal for this age group. Building a tower of 3 blocks (
B) and speaking at least 10 words (
D) are also typical developmental milestones for an 18-month-old.
Extract:
Infant with heart failure who vomited after digoxin
Question 5 of 5
A nurse is caring for an infant who has heart failure and vomited following administration of digoxin. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Administer the next dose as prescribed. In this scenario, the infant vomited after receiving digoxin, which is a common side effect of the medication. However, it does not mean that the dose was not absorbed. Re-administering the dose ensures that the infant receives the necessary medication for heart failure. Mixing the medication with formula (
B) may alter its absorption. Giving an antiemetic (
C) is not necessary unless vomiting persists. Increasing fluid intake (
D) is not directly related to addressing the vomiting after digoxin administration.