ATI RN
ATI RN Pediatric Nursing 2023 I Questions
Extract:
Question 1 of 5
A nurse is providing teaching to the parent of a toddler who is scheduled for an electrocardiogram. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: Your child can rest on your lap during the procedure. This is the correct statement because toddlers may feel more comfortable and secure being held by a parent during medical procedures, which can help reduce anxiety and improve cooperation. This approach promotes a sense of safety and reassurance for the child.
Choice B is incorrect because it may cause unnecessary worry for the parent and child, as alarms are not typically used during electrocardiograms.
Choice C is incorrect as leads are usually placed on the chest, not the back.
Choice D is incorrect because the duration of an electrocardiogram for a toddler is typically shorter than 30 minutes.
Question 2 of 5
A nurse is caring for a 5-year-old child who has nephrotic syndrome. Which of the following findings should indicate to the nurse that treatment has been effective?
Correct Answer: C
Rationale: The correct answer is C: Urine output 256 mL over 8 hr. In nephrotic syndrome, the hallmark sign of treatment effectiveness is increased urine output due to improved kidney function. This indicates that the kidneys are effectively filtering waste products from the body. Odorless urine (
A) and no pain with voiding (
B) are important but do not directly reflect kidney function. Temperature (
D) is within normal range and does not indicate treatment effectiveness for nephrotic syndrome.
Question 3 of 5
A nurse is assessing a 5-month-old infant. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Exhibits head lag when pulled to a sitting position. This finding is concerning because by 5 months, infants should have minimal head lag when pulled to a sitting position, indicating poor head control, which could be a sign of developmental delay or neurological issue. A: Unable to roll from back to abdomen is a milestone achieved around 5-6 months and not a cause for concern at this age. C: Unable to hold a bottle is typically seen around 6-7 months and is not a critical concern at 5 months. D: Absent grasp reflex is normal at this age as the grasp reflex typically disappears by 3-4 months.
Question 4 of 5
A nurse is caring for an 8-year-old child who was recently diagnosed with chronic renal failure. The child's parents ask for information on hemodialysis. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: The correct answer is C: Hemodialysis uses an artificial membrane outside the body to clean your child's blood. This is correct because hemodialysis involves the use of a machine that filters the blood through an artificial membrane to remove waste products and excess fluids. This process occurs outside the body and is commonly used for patients with kidney failure.
Choice A is incorrect because hemodialysis does not use the abdominal cavity as a membrane.
Choice B is incorrect because hemodialysis does not involve the use of an electrolyte solution to clean the blood.
Choice D is incorrect because hemodialysis is not a continuous filtration process, but rather a periodic treatment.
Question 5 of 5
A nurse is providing discharge teaching to the guardian of a preschooler who had a tonsillectomy. Which of the following statements should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Notify the provider if your child is swallowing frequently. This is important post-tonsillectomy as it may indicate bleeding, which needs immediate medical attention.
Choice A is incorrect as dark brown blood between teeth is not a typical sign of bleeding.
Choice B is incorrect as straws can increase the risk of bleeding.
Choice D is incorrect as clearing the throat can irritate the surgical site.