ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
Question 1 of 5
A nurse is providing teaching to a parent of a child who has HIV. Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I will ensure that my child is tested for tuberculosis every year." This statement indicates understanding because HIV-positive individuals are at higher risk for developing tuberculosis due to their compromised immune system. Annual testing is crucial for early detection and treatment.
Choice A is incorrect because zidovudine does not directly decrease the risk of transmission, but rather helps manage HIV.
Choice B is incorrect as childhood immunizations do not need to be repeated in remission unless specifically recommended by a healthcare provider.
Choice D is incorrect as there is no indication to double medications for the next 6 months.
Extract:
A nurse is obtaining informed consent for an adolescent who is scheduled for a cardiac catheterization. The adolescent's guardian states, "I don't understand why they need to do this procedure."
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D. The nurse should notify the provider scheduled to perform the procedure because they are responsible for ensuring that the correct information is communicated to the provider directly involved in the procedure. This is crucial for patient safety and continuity of care.
Choice A is important but does not address the immediate need to inform the provider.
Choice B is important but does not address the need to communicate with the provider.
Choice C is unnecessary as the nurse should directly communicate with the provider.
Extract:
A nurse is providing peritoneal dialysis to a child and observes there is minimal dialysate outflow at the end of the outflow time.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Instruct the child to change position. This action helps prevent complications such as clotting or kinking of the catheter during peritoneal dialysis. Changing positions can improve fluid flow and ensure proper dialysis efficiency. Increasing dwell time (choice
A) may lead to complications. Increasing oral fluid intake (choice
C) is important but not the immediate action needed. Assessing for a bruit (choice
D) is not relevant to peritoneal dialysis.
Extract:
A nurse is caring for a client.
Question 4 of 5
Which action demonstrates effective collaboration?
Correct Answer: B
Rationale: Effective collaboration involves seeking input and guidance from other healthcare professionals. Choosing option B, seeking guidance from the wound care nurse, is the correct answer as it demonstrates teamwork and utilizing the expertise of specialized colleagues for the best outcome. This action promotes effective communication, shared decision-making, and ensures that the dressing change is done correctly based on the nurse's expertise. Options A, C, and D are incorrect as they do not involve collaboration or seeking appropriate help from a qualified healthcare professional, which could lead to suboptimal patient care.
Extract:
Question 5 of 5
A nurse is reviewing the admission prescriptions for a 6-year-old child who has cystic fibrosis. For which of the following prescriptions should the nurse contact the child's provider?
Correct Answer: B
Rationale: The correct answer is B: Perform airway clearance therapy prior to bronchodilator medications. For a child with cystic fibrosis, airway clearance therapy helps to clear mucus from the lungs, improving breathing. Performing this therapy before using bronchodilator medications ensures that the airways are cleared for optimal delivery of the bronchodilator. Contacting the provider is important to confirm the correct sequence of treatments and to avoid any potential adverse effects or interactions.
Incorrect choices:
A: Administering water-miscible vitamins A, D, E, and K is a standard treatment for cystic fibrosis and does not require immediate provider contact.
C: Encouraging intake of a high-calorie, high-protein diet is also a common recommendation for children with cystic fibrosis to support growth and weight gain.
D: Using the airway clearance therapy device every 2 hours while awake is a frequent regimen for managing cystic fibrosis and does not warrant