ATI RN
ATI RN Pediatric Nursing 2023 II 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: C
Rationale: The correct answer is C: Offer commercially prepared formula. This is the best option because goat milk is not recommended for infants under 1 year old due to its high protein and mineral content, which can strain the infant's kidneys. Commercially prepared formula is specifically designed to meet the nutritional needs of infants and is a safer and more appropriate choice. Warming the goat's milk (choice
A) does not address the underlying issue of nutritional inadequacy. Switching to soy milk (choice
B) is not recommended as a first-line alternative to goat milk. Reinitiating breastfeeding (choice
D) may not be feasible or desired by the parent and does not address the immediate nutritional concerns.
Question 2 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. Necrotizing enterocolitis (NE
C) is a serious condition in infants characterized by inflammation and necrosis of the intestines. A rounded abdomen is a common finding in NEC due to abdominal distention from gas and fluid accumulation. Vomiting (
A) is a nonspecific symptom in infants and can occur in various conditions. Hypertension (
B) is not typically associated with NEC. Tachypnea (
D) can occur in NEC due to respiratory distress, but it is not a specific finding.
Question 3 of 5
A school nurse is assessing a 7-year-old student. The nurse should identify which of the following findings as a potential indicator of physical abuse?
Correct Answer: D
Rationale: The correct answer is D: Bruising around the wrists. This finding is concerning for physical abuse because bruises around the wrists are not commonly seen in accidental injuries. These bruises may indicate that the child was grabbed or restrained forcefully. It is crucial for the nurse to further assess the nature, location, and pattern of the bruising to determine if it raises suspicion of abuse. Abrasions on the knees (choice
A) are more likely to be related to normal childhood activities. Front deciduous teeth missing (choice
B) is a common occurrence in children due to natural tooth loss. Weight in the 45th percentile (choice
C) is within the normal range and does not specifically indicate physical abuse.
Question 4 of 5
A nurse is evaluating the pain level of a toddler who is cognitively impaired to a nonpharmacologic intervention. Which of the following pain scales should the nurse use to evaluate the toddler's pain level?
Correct Answer: C
Rationale: The correct answer is C: FLACC. The FLACC scale is specifically designed for assessing pain in nonverbal individuals such as toddlers or cognitively impaired patients. It evaluates Facial expression, Leg movement, Activity, Cry, and Consolability. This scale is suitable for assessing pain in this population as it focuses on observable behaviors that may indicate pain. The Visual Analog scale (
A) requires the ability to comprehend and communicate pain levels, which may be challenging for a cognitively impaired toddler. The FACES scale (
B) relies on the individual's ability to understand and point to facial expressions representing pain, which may not be possible for the toddler in this scenario. The CRIES scale (
D) is typically used for neonates and may not be appropriate for a toddler.
Question 5 of 5
A nurse is planning care for a preschooler who has neutropenia. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: The correct answer is B. Neutropenia is a condition characterized by low levels of neutrophils, which are important in fighting infection. Raw fruits and vegetables can harbor bacteria that may lead to infections in individuals with neutropenia.
Therefore, it is crucial to avoid them to prevent potential infections. Administering vaccines (choice
A) may further compromise the child's immune system, bathing the child every other day (choice
C) may not directly impact infection risk, and obtaining rectal temperature daily (choice
D) may not prevent infections.