ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
Question 1 of 5
A nurse is providing teaching to the parent of a 10-month-old infant who is having difficulty eating. The parent is feeding their infant goat milk. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Offer commercially prepared formula. Goat's milk is not recommended for infants under 1 year old due to inadequate nutrients and high protein content. Commercially prepared formula is specifically designed to meet the nutritional needs of infants. Switching to soy milk (
B) is not recommended due to potential allergies. Warming goat's milk (
C) does not address the nutritional deficiencies. Reinitiating breastfeeding (
D) may not be feasible or desired by the parent.
Extract:
A nurse is caring for a 1-year-old child who has been hospitalized.
Question 2 of 5
Which of the following items in the child's room is a common source of health care-associated infection?
Correct Answer: D
Rationale: The correct answer is D: Bedside computer keyboard. This is because items such as computer keyboards in a child's room can harbor harmful bacteria and viruses that can be transmitted to the child, caregivers, or healthcare providers, leading to healthcare-associated infections. Keyboards are frequently touched and are often overlooked when it comes to cleaning and disinfection, making them a common source of infections. The other choices (A, B, and
C) are less likely to be sources of healthcare-associated infections in a child's room as disposable diapers, protective gowns, and unopened formula bottles are typically designed to maintain hygiene and are not directly involved in transmitting infections like a contaminated keyboard.
Extract:
A nurse is planning care for a child who has varicella.
Question 3 of 5
Which of the following interventions should the nurse plan to include?
Correct Answer: D
Rationale: The correct answer is D: Initiate airborne precautions. This is because the presence of Koplik spots in the oral cavity is a classic sign of measles, which is highly contagious through airborne droplets. Administering aspirin for fever is contraindicated in children with viral illnesses like measles due to the risk of Reye's syndrome. Providing a warm blanket is not directly related to managing measles. Initiation of airborne precautions is essential to prevent the spread of the measles virus to other individuals.
Extract:
Which of the following best describes the purpose of obtaining consent?
Question 4 of 5
To ensure the patient understands the risks.
Correct Answer: A
Rationale: The correct answer is A because obtaining permission from the patient's family for treatment is crucial to ensure that the patient understands the risks involved. Involving the family helps in providing comprehensive information and support to the patient.
Choice B is incorrect because the primary focus should be on patient care rather than protecting the nurse legally.
Choice C is incorrect as proceeding with treatment without patient input goes against the principles of informed consent.
Extract:
Question 5 of 5
A nurse is caring for a group of toddlers receiving digoxin therapy. For which of the following toddlers should the nurse revise the plan of care?
Correct Answer: C
Rationale: The correct answer is C. Vomiting can lead to decreased absorption of digoxin, potentially causing subtherapeutic levels and reducing the medication's effectiveness. A consistent therapeutic level of digoxin is vital for its intended therapeutic effects, such as improving cardiac output and reducing heart rate. Monitoring for signs of toxicity is crucial, but in this case, the nurse should prioritize addressing the vomiting episode to ensure proper drug absorption and efficacy.
Choices A, B, and D do not warrant a revision of the care plan as the apical pulse, potassium level, and digoxin level are within acceptable ranges.