ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
10-month-old infant having difficulty eating, fed goat milk
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: B
Rationale:
Correct Answer: B - Offer commercially prepared formula.
Rationale: Commercially prepared formula is specifically formulated to meet the nutritional needs of infants. Goat milk lacks essential nutrients such as folate and vitamin B12, which are crucial for infant growth and development. Switching to soy milk (choice
A) is not recommended as it may also lack essential nutrients and can cause allergies. Warming goat milk (choice
C) does not address the nutritional deficiencies. Reinitiating breastfeeding (choice
D) may not be feasible if the mother is unable to do so. Commercially prepared formula is the best option to ensure the infant receives proper nutrition.
Extract:
School-age child with pertussis
Question 2 of 5
A nurse is caring for a school-age child who has pertussis. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action is to report the diagnosis to the public health department (choice
C) because pertussis is a communicable disease that requires public health monitoring to prevent outbreaks. Placing the child in a protected environment (choice
A) is not necessary as pertussis is spread through respiratory droplets, not airborne transmission. Administering the pertussis vaccine (choice
B) is a preventive measure, not a treatment for an active infection. Restricting oral fluids (choice
D) is not recommended as proper hydration is important for managing pertussis symptoms.
Extract:
Toddler after orchiopexy procedure
Question 3 of 5
A nurse is providing education to the parents of a toddler who is being discharged after an orchiopexy procedure. Which of the following statements indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A because it shows understanding of the post-operative care instructions following an orchiopexy procedure. Restricting straddling activities for 2 weeks helps prevent stress on the surgical area, promoting healing.
Choice B is incorrect as resuming all physical activities too soon can lead to complications.
Choice C is incorrect as the procedure does not eliminate the risk of fertility issues.
Choice D is incorrect because pain medications may be needed post-operatively.
Extract:
Question 4 of 5
A nurse is providing discharge teaching to the guardian of a child who has cystic fibrosis. Which of the following statements by the guardian indicates an understanding of the teaching?
Correct Answer: C
Rationale:
Correct Answer: C - "I will ensure that my child consumes a high-calorie diet."
Rationale:
1. Children with cystic fibrosis have increased energy needs due to malabsorption issues.
2. A high-calorie diet helps maintain weight and overall nutritional status in CF patients.
3. Adequate calorie intake supports growth and development, which is crucial for CF patients.
4. The statement indicates an understanding of the importance of nutritional management in cystic fibrosis.
Incorrect
Choices:
A: Annual sweat chloride testing is important for CF diagnosis but does not demonstrate understanding of ongoing care.
B: Chewing pancrelipase before eating is incorrect; it should be taken with meals for proper digestion.
D: Dornase alfa is used for mucolytic therapy in CF, not for wheezing.
E, F, G: Not provided, but they would likely be incorrect as they do not pertain to CF management.
Extract:
15-year-old adolescent about a medication for STI
Question 5 of 5
A nurse is providing teaching to a 15-year-old adolescent about a medication used to treat a sexually transmitted infection. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D because asking the client how they prefer to learn new information involves individualizing the teaching approach to best suit the adolescent's learning style and preferences. This approach is crucial in promoting understanding and retention of the information provided. It also empowers the adolescent to take an active role in their own healthcare, which is important for their autonomy and development.
Choice A is incorrect as the nurse should provide direct education and support instead of redirecting the client to the pharmacy.
Choice B is not ideal because the adolescent should be the primary recipient of the education about their own health.
Choice C is not recommended as it does not actively involve the adolescent in the learning process. Overall, choice D is the most appropriate as it respects the adolescent's autonomy and promotes effective communication and learning.