ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
11-month-old infant with acute diarrhea
Question 1 of 5
A nurse is providing teaching to the guardian of an 11-month-old infant who has acute diarrhea. Which of the following food items should the nurse instruct the parent to provide to the infant?
Correct Answer: D
Rationale: The correct answer is D: Oral electrolyte solution. This is the best choice for an infant with acute diarrhea as it helps prevent dehydration by replacing lost fluids and electrolytes. Chicken soup (
A) may be too heavy for an infant's stomach. White grape juice (
B) and applesauce (
C) contain high sugar levels that can worsen diarrhea. Providing a clear, detailed explanation helps the guardian understand the importance of using oral electrolyte solution to manage the infant's condition effectively.
Extract:
Question 2 of 5
A nurse is performing a physical assessment for a preschooler. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Check visual acuity by using the tumbling E eyechart. This is the appropriate action for a preschooler as they may not yet be able to read standard eye charts. By using the tumbling E chart, which consists of capital E letters facing in different directions, the nurse can assess the child's visual acuity effectively. Auscultating the abdomen for an extended period (choice
A) is unnecessary and not relevant to a preschooler's physical assessment. Using the bell stethoscope for breath sounds (choice
B) is not appropriate for assessing a preschooler. Placing a hand on the abdomen to determine respiratory rate (choice
D) is also not a recommended method for assessing a preschooler.
Extract:
School-age child
Question 3 of 5
A nurse is teaching the parent of a school-age child about bicycle safety. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: "Your child should walk the bicycle through intersections." This instruction is crucial for bicycle safety as walking the bicycle through intersections reduces the risk of accidents with vehicles and pedestrians. It allows the child to have better control and visibility in potentially dangerous areas.
Choice B is incorrect because keeping the bicycle 3 feet from the curb is not a recommended safety practice as it may impede traffic flow and increase the risk of accidents.
Choice C is incorrect as the height of the child's feet off the ground while seated on the bicycle is not directly related to safety.
Choice D is incorrect because riding the bicycle against the flow of traffic is dangerous and increases the risk of collisions with oncoming vehicles.
Extract:
Child with juvenile idiopathic arthritis and a new prescription for prednisone
Question 4 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: B
Rationale: The correct answer is B: "Monitor your child for indications of infection." This statement is important because prednisone can suppress the immune system, increasing the risk of infections. Monitoring for signs of infection allows for early detection and treatment.
Incorrect choices:
A: Limiting potassium-rich foods is not necessary with prednisone.
C: Prednisone does not typically stimulate growth spurts.
D: Discontinuing prednisone abruptly can lead to withdrawal symptoms and should be done under medical supervision.
Extract:
School-age child following surgery and cast application to the right forearm
Question 5 of 5
A nurse is providing discharge teaching to the parents of a school-age child following surgery and cast application to the right forearm. Which of the following information is the priority for the nurse to include?
Correct Answer: D
Rationale: The correct answer is D: Monitor for pallor or swelling in the child's affected hand. This is the priority because it indicates potential circulation issues, such as compartment syndrome, which is a medical emergency. Pallor and swelling are signs of decreased blood flow, which can lead to tissue damage. It is crucial to monitor these signs closely to prevent complications.
A: Examining for skin irritation is important for skin health but not the priority compared to monitoring for circulation issues.
B: Using a hair dryer for itching is not recommended as it can introduce moisture and cause skin issues under the cast.
C: Restricting strenuous activities is important but not as critical as monitoring for circulation issues.
Summary: Monitoring for pallor or swelling is crucial for early detection of circulation problems, while the other choices focus on secondary aspects of cast care.