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 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: A
Rationale: The correct answer is A: "I will ensure that my child is tested for tuberculosis every year." This statement indicates an understanding of the teaching because children with HIV are at higher risk for tuberculosis, and regular testing is important for early detection and treatment.
Option B is incorrect because the risk of transmission does not decrease after only 2 weeks of zidovudine treatment. Option C is incorrect as doubling medications without medical advice can be harmful. Option D is incorrect because childhood immunizations are not repeated once in remission.
Question 3 of 5
A nurse is caring for a 1-year-old child who has been hospitalized. Which of the following items in the child's room is a common source of health care-associated infection?
Correct Answer: B
Rationale: The correct answer is B: Bedside computer keyboard. The bedside computer keyboard can be a common source of healthcare-associated infections due to frequent handling by healthcare providers without proper disinfection, leading to the transfer of pathogens. Unopened bottles of formula (
A) are not typically a source of infection as long as they are handled properly. Disposable diapers (
C) are used for personal hygiene and do not pose a significant risk if disposed of properly. Protective plastic gowns (
D) are designed to prevent the spread of infections and are not a common source of infection themselves.
Question 4 of 5
A nurse is teaching the guardian of a newborn about how to prepare their 3-year-old child to meet their new sibling. Which of the following statements should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: Provide a doll for your 3-year-old child to imitate parental behaviors. This is the best choice as it allows the older sibling to role-play and learn about caregiving, fostering a sense of involvement and preparation for the new sibling.
Choice A is incorrect as it may create unnecessary anxiety for the child.
Choice C may oversimplify the situation and not adequately prepare the child.
Choice D is incorrect as it is important to prepare the older sibling before the arrival of the newborn.
Question 5 of 5
A nurse is planning postoperative care for an adolescent following scoliosis repair with spinal instrumentation. Which of the following actions should the nurse include in the plan of care?
Correct Answer: D
Rationale: The correct answer is D: Ensure two nurses logroll the adolescent every 2 hr. This is important post-scoliosis repair with spinal instrumentation to prevent complications like pressure ulcers or injury to the surgical site. Logrolling helps maintain alignment of the spine and reduces strain on the surgical area. Offering sips of water 4 hr postop (
A) may not be appropriate due to anesthesia effects. Ambulating 12 hr postop (
B) may be too early and risky. Maintaining the bed at a 30° angle (
C) is not specific to spinal surgery care.