ATI RN
ATI Nurs 150 Pediatric Final Exam 0924 Cohort Questions
Extract:
An infant who has gastroesophageal reflux
Question 1 of 4
A nurse is providing teaching to the parent of an infant who has gastroesophageal reflux. Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: A
Rationale:
Correct
Answer: A: "I will keep my baby in an upright position after feedings."
Rationale: Keeping the baby upright after feedings helps prevent reflux by allowing gravity to assist in keeping stomach contents down. This position reduces the likelihood of regurgitation and helps alleviate discomfort.
Summary of Incorrect
Choices:
B: Feeding formula instead of breast milk is not necessary for managing gastroesophageal reflux.
C: Positioning the baby side-lying during sleep can increase the risk of choking or aspiration.
D: Thickening formula with oatmeal is not recommended for infants as it can lead to feeding difficulties and inadequate nutrient intake.
Extract:
A child who has iron deficiency anemia and is taking iron supplements
Question 2 of 4
A nurse is providing teaching to the parents of a child who has iron deficiency anemia and is taking iron supplements. Which of the following statements by the parents indicates an understanding of the teaching?
Correct Answer: A
Rationale:
Correct
Answer: A
Rationale:
1. Monitoring blood count is crucial to assess the effectiveness of iron supplementation and the child's response to treatment.
2. Anemia management requires regular monitoring to adjust the treatment plan if needed.
3. Monitoring helps prevent potential complications and ensures the child's health is optimized.
Incorrect
Choices:
B: Restricting fiber does not directly enhance iron absorption. Iron absorption is influenced by various factors, not just fiber intake.
C: Iron supplements are usually recommended to be taken on an empty stomach for better absorption.
D: Administering iron in one large dose can lead to poor absorption and increased risk of side effects. Iron is better absorbed when taken in divided doses throughout the day.
Extract:
A 5-year-old child who has sickle cell anemia with joint pain, low-grade fever, recent upper respiratory infection, chest pain, nasal flaring, retractions, and wheezes
Question 3 of 4
Which of the following assessment findings require additional action by the nurse?
Correct Answer: A,B,C
Rationale: The correct answer is A, B, and C because they indicate potential serious health concerns that require immediate action. A child reporting chest pain and joint pain at a 4 on the Faces Scale may indicate significant discomfort or underlying medical conditions. Nasal flaring, moderate subcostal, and substernal retractions suggest respiratory distress, which can be life-threatening. Bilateral, moderate inspiratory and expiratory wheezes indicate possible airway obstruction or respiratory issues.
Choices D, E, F, and G do not present immediate life-threatening concerns and can be addressed after addressing the more critical findings.
Extract:
A toddler
Question 4 of 4
A nurse is teaching the parents of a toddler about temper tantrums. Which of the following statements should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A because temper tantrums in toddlers are often a way for them to express their frustration and assert independence. By understanding this, parents can respond with patience and teach the toddler appropriate ways to cope with their emotions. Leaving the room (
B) may reinforce negative behavior, and getting a psychological consult (
C) or labeling tantrums as a learning disability (
D) is unnecessary and could create unnecessary anxiety for the child and parents.
Extract:
An infant
Question 5 of 4
A nurse is preparing to measure an infant's vital signs. The nurse should use which of the following sites to assess a heart rate?
Correct Answer: A
Rationale: The correct answer is A: Apex of the heart. The nurse should assess an infant's heart rate at the apex of the heart because it is the most accurate site for measuring heart rate in infants due to the faster heart rate and smaller size of their hearts. The apex of the heart is located at the point of maximal impulse (PMI) which is usually at the 4th or 5th intercostal space at the midclavicular line. This location allows for direct and accurate assessment of the heart's contractions.
Summary:
B: Radial artery - This site is used to assess pulse rate, not heart rate.
C: Carotid artery - This site is used to assess pulse rate, not heart rate.
D: Brachial artery - This site is used to assess blood pressure, not heart rate.