ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
Preschool-age child with celiac disease
Question 1 of 5
A nurse is providing teaching to the parents of a preschool-age child who has celiac disease. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: "Your child will be on a gluten-free diet for the rest of her life." Celiac disease is a lifelong autoimmune condition where the body reacts to gluten. Removing gluten from the diet is the only treatment.
Choice A is incorrect because celiac disease requires a gluten-free diet, not low-protein.
Choice B is incorrect as high-fiber diets may worsen symptoms in some cases.
Choice C is incorrect because wheat flour contains gluten, which should be avoided.
Extract:
Nurses' Notes 0915: Received the child awake, alert, and crying. Parent states that child was playing with remote control toy and when the parent heard the child crying, they noticed that a battery was missing from the toy. The parent states that the child was drooling more than usual and witnessed them gagging periodically. 0930: Child is lying on parent's chest with eyes open and requesting 'sippy cup.' Continues to have expiratory wheezing in bilateral upper lobes. Preparing child for diagnostic testing.
Question 2 of 5
The nurse should first ___
Correct Answer: B
Rationale: The correct answer is B: Keep the child NPO. This is the priority because it ensures the child's safety before any other interventions. Keeping the child NPO helps prevent aspiration during any potential procedures or treatments. Obtaining informed consent (
A) is important but not the first step in this situation. Teaching the child's parents (
C) can wait until the child's immediate needs are addressed.
Extract:
School-age child with autism spectrum disorder
Question 3 of 5
A nurse is planning care for a school-age child who has autism spectrum disorder. Which of the following actions should the nurse include in the plan?
Correct Answer: D
Rationale: The correct answer is D: Introduce the child to new situations slowly. For a child with autism spectrum disorder, new situations can be overwhelming and lead to anxiety. By introducing the child to new situations slowly, the nurse can help the child feel more comfortable and reduce stress. This approach allows the child to gradually adapt and build confidence. Staying with the child for long periods of time (
A) may lead to dependency and hinder the child's independence. Giving the child three options when making choices (
B) may be too overwhelming and cause confusion. Explaining procedures in detail to the child (
C) may be helpful, but it may not address the main issue of introducing the child to new situations slowly.
Extract:
Preschool-age child with heart failure
Question 4 of 5
A nurse is teaching home care to the parents of a preschool-age child who has heart failure. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Provide for periods of rest. This is essential in managing heart failure as rest helps reduce the workload on the heart. By allowing the child to rest, the heart can recover and function more efficiently. It also helps prevent fatigue and conserves energy.
Incorrect
Choices:
B: Increasing oxygen flow rate until cyanosis resolves is not a recommended practice as it can lead to oxygen toxicity and does not address the underlying cause of heart failure.
C: Withholding digoxin if the child's pulse is greater than 100/min is incorrect as digoxin is commonly used in managing heart failure to improve heart function.
D: Weighing the child once a month is not sufficient for monitoring fluid retention, which is crucial in heart failure management. Frequent weight monitoring is necessary to detect changes early.
Extract:
Preschool-age child with sleep terrors
Question 5 of 5
A nurse is teaching a parent of a preschool-age child about management of sleep terrors. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Remain uninvolved until the child awakens. During sleep terrors, the child is not fully awake and may become agitated if disturbed. Interfering can prolong the episode. Other choices are incorrect because B can reinforce the behavior, C may not be necessary for all cases, and D can disrupt sleep hygiene.