ATI RN Pediatrics 2023

Extract:

15-year-old adolescent about a medication for STI

Question 1 of 5

A nurse is providing teaching to a 15-year-old adolescent about a medication used to treat a sexually transmitted infection. Which of the following actions should the nurse take?

A. Inform the client to contact the pharmacy regarding any questions related to the medication. B. Provide instructions to the client's parent with the client present. C. Instruct the client's parents to write down the information that is being provided. D. Ask how the client prefers to learn new information.

Correct Answer: D

Rationale: The correct answer is D because asking the client how they prefer to learn new information involves individualizing the teaching approach to best suit the adolescent's learning style and preferences. This approach is crucial in promoting understanding and retention of the information provided. It also empowers the adolescent to take an active role in their own healthcare, which is important for their autonomy and development.

Choice A is incorrect as the nurse should provide direct education and support instead of redirecting the client to the pharmacy.
Choice B is not ideal because the adolescent should be the primary recipient of the education about their own health.
Choice C is not recommended as it does not actively involve the adolescent in the learning process. Overall, choice D is the most appropriate as it respects the adolescent's autonomy and promotes effective communication and learning.

Extract:

School-age child having a tonic-clonic seizure

Question 2 of 5

A nurse is caring for a school-age child who is having a tonic-clonic seizure. Which of the following actions should the nurse take?

A. Time the episode. B. Administer chlorothiazide. C. Place the child in a prone position. D. Hold the child down.

Correct Answer: A

Rationale: The correct action is A: Time the episode. Timing the seizure helps monitor its duration, which is crucial for determining if medical intervention is needed. Administering chlorothiazide (
B) is not indicated for seizures. Placing the child in a prone position (
C) can lead to airway obstruction. Holding the child down (
D) can cause injury and is not recommended during a seizure.

Extract:

3-month-old infant with diarrhea

Question 3 of 5

A nurse is assessing a 3-month-old infant who has diarrhea. Which of the following findings should the nurse expect?

A. Decreased heart rate B. Bulging fontanel C. Polyuria D. Increased hematocrit

Correct Answer: D

Rationale: The correct answer is D: Increased hematocrit. Diarrhea can lead to dehydration in infants, resulting in a decrease in blood volume and concentration of red blood cells. This can cause an increase in hematocrit levels as the blood becomes more concentrated. Decreased heart rate (choice
A) is not typically associated with diarrhea in infants. Bulging fontanel (choice
B) is a sign of increased intracranial pressure, not related to diarrhea. Polyuria (choice
C) is excessive urination, not typically seen in infants with diarrhea.
Therefore, the correct answer is D as it directly relates to dehydration and the body's compensatory response.

Extract:

1-month-old infant whose parent states, 'My baby seems to cry a lot.'

Question 4 of 5

A nurse is caring for a 1-month-old infant. Which of the following responses should the nurse make?

A. Your baby's crying is a way to communicate with you.' B. Why do you feel like your baby cries a lot?' C. Is it possible that you have spoiled your baby?' D. Letting your baby cry will teach them how to self-soothe.'

Correct Answer: A

Rationale: The correct answer is A: "Your baby's crying is a way to communicate with you." This response acknowledges the infant's cry as a form of communication, which is essential at this age. Infants cry to express their needs, such as hunger, discomfort, or fatigue. By validating the infant's communication, the nurse can promote a secure attachment and responsive caregiving.

Choices B and C are incorrect because they may imply blame on the parent or suggest that the crying is abnormal.
Choice D is incorrect as it promotes the outdated belief of letting babies cry it out to self-soothe, which can be harmful and disregards the infant's needs. It is essential to prioritize responsive caregiving and understanding the infant's cues.

Extract:

Preschool-age child with celiac disease

Question 5 of 5

A nurse is providing teaching to the parents of a preschool-age child who has celiac disease. Which of the following instructions should the nurse include?

A. Your child will need to follow a low-protein diet temporarily.' B. You should place your child on a high-fiber diet when she has an exacerbation.' C. You should replace white flour with wheat flour when preparing meals for your child.' D. Your child will be on a gluten-free diet for the rest of her life.'

Correct Answer: D

Rationale: The correct answer is D: "Your child will be on a gluten-free diet for the rest of her life." Celiac disease is a lifelong autoimmune condition where the body reacts to gluten. Removing gluten from the diet is the only treatment.
Choice A is incorrect because celiac disease requires a gluten-free diet, not low-protein.
Choice B is incorrect as high-fiber diets may worsen symptoms in some cases.
Choice C is incorrect because wheat flour contains gluten, which should be avoided.

ATI RN Pediatrics 2023 | Nurselytic

Nurselytic

ATI RN

ATI RN