ATI RN
ATI RN Pediatric Nursing 2023 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is providing teaching to the guardian of a 2-year-old child about typical toddler behavior. Which of the following behaviors should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Frequent negative responses.
Toddlers often exhibit negative responses as they are learning to express their independence and emotions. This behavior is typical as they navigate through their developmental stage. Resistant to routines (
A) is not typically seen in toddlers as they thrive on predictability. Less emotionally labile (
C) is not characteristic of toddlers, who often have intense emotions. Increased dependency (
D) is not a typical behavior for toddlers, as they are exploring their independence. Thus, the best choice is B as it aligns with the normal behavior of a 2-year-old child.
Question 2 of 5
A nurse is preparing to administer an IM injection to a 3-year-old child. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: The correct answer is D: "You can choose which leg you get your medicine in." This statement empowers the child by giving them a sense of control over the situation, which can help alleviate anxiety and fear associated with the injection. By allowing the child to choose the leg, it helps build trust and cooperation.
A: Offering a prize for not crying may encourage the child to suppress their emotions rather than addressing them.
B: This statement provides false reassurance and does not prepare the child for the sensation of the injection.
C: While minimizing the sensation is important, this statement does not address the child's autonomy or control.
In summary, choice D is correct as it promotes autonomy and reduces anxiety, while the other choices do not address the child's emotional needs or provide a sense of control.
Question 3 of 5
A nurse is caring for a 5-year-old child who has acute poststreptococcal glomerulonephritis. Which of the following findings should indicate to the nurse that treatment has been effective?
Correct Answer: C
Rationale: The correct answer is C: Clear urine. In acute poststreptococcal glomerulonephritis, the kidneys become inflamed and may present with hematuria and proteinuria. Clear urine indicates resolution of these symptoms, reflecting improved kidney function. A: Temperature and D: Odorless urine are unrelated to the condition. B: No pain with voiding is important but not a direct indicator of treatment effectiveness. Other choices are not relevant.
Question 4 of 5
A nurse is caring for a child who has sickle cell anemia. Which of the following findings is the priority for the nurse to report to the provider?
Correct Answer: D
Rationale: The correct answer is D: Facial twitching. This finding is the priority because it could indicate a neurological issue or seizure activity, which can be life-threatening in a child with sickle cell anemia. Kyphosis (
A) is a spinal deformity that may require monitoring but is not as urgent as facial twitching. Constipation (
B) and enuresis (
C) are common issues in children and can be managed with interventions such as dietary changes or bladder training. Facial twitching (
D) requires immediate attention as it may be a sign of a more serious complication.
Question 5 of 5
A nurse is caring for an infant who has necrotizing enterocolitis. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Rounded abdomen. In necrotizing enterocolitis, the infant may present with abdominal distension due to gas accumulation in the intestine. This distension can lead to a rounded appearance of the abdomen. Vomiting (
A) is less common in necrotizing enterocolitis. Hypertension (
B) is not a typical finding in this condition; in fact, hypotension is more common due to sepsis. Tachypnea (
D) may occur due to respiratory distress associated with the condition, but it is not a defining characteristic.