ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
Child with asthma using a metered-dose inhaler
Question 1 of 5
A nurse is teaching a child who has asthma about using a metered-dose inhaler with a mouthpiece. Identify the sequence of steps the nurse should instruct the child to take.
Order the Items
Source Container
Correct Answer: A,B,C,D
Rationale: The correct sequence of steps for using a metered-dose inhaler with a mouthpiece is as follows:
A: Exhale slowly through the nose - This step ensures that the child's lungs are ready to receive the medication and helps in controlling breathing during inhalation.
B: Depress the canister while inhaling slowly - This step allows the child to inhale the medication effectively into their lungs.
C: Hold breath for 10 seconds - Holding the breath helps the medication to be absorbed into the lungs and provides optimal effectiveness.
D: Remove the inhaler from the mouth - This step prevents the child from accidentally inhaling more medication and ensures proper completion of the process.
Other choices are incorrect as they do not align with the correct sequence of steps required for using a metered-dose inhaler with a mouthpiece.
Extract:
18-month-old toddler during a well-child visit
Question 2 of 5
A nurse is assessing an 18-month-old toddler during a well-child visit. Which of the following findings should the nurse identify as a potential developmental delay?
Correct Answer: C
Rationale: The correct answer is C: Walks with assistance. At 18 months old, toddlers should be able to walk independently. Walking with assistance at this age could indicate a potential developmental delay in gross motor skills. This milestone typically occurs around 12-15 months. Engaging in parallel play (
A) is normal for this age group. Building a tower of 3 blocks (
B) and speaking at least 10 words (
D) are also typical developmental milestones for an 18-month-old.
Extract:
School-age child who weighs 20 kg (44 lb) postoperative with chest tubes
Question 3 of 5
A nurse is caring for a school-age child who weighs 20 kg (44 lb) and is postoperative with chest tubes in place. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Chest tube drainage of 200 mL in 1 hr. This finding should be reported to the provider because it indicates excessive chest tube drainage, which could signal a complication such as hemorrhage or fluid imbalance that needs immediate intervention. Other choices are not as concerning:
A) Respiratory rate within normal limits,
C) Serous drainage is expected postoperatively,
D) Fluctuation in water-sealed chamber is normal. Reporting excessive chest tube drainage helps prevent further complications.
Extract:
Infant with a prescription for a Pavlik harness
Question 4 of 5
A nurse is planning care for an infant who has a prescription for a Pavlik harness. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Position the diaper over the straps with each change. This is important to prevent irritation and pressure sores on the infant's skin. Placing the diaper over the straps creates a barrier between the harness and the skin, reducing the risk of skin breakdown. Applying lotion (choice
A) may cause the straps to slip, compromising the effectiveness of the harness. Lengthening the harness straps weekly (choice
C) is not necessary and may alter the fit of the harness. Massaging the skin under the straps daily (choice
D) can cause discomfort and does not address the primary concern of preventing skin irritation.
Extract:
Child receiving peritoneal dialysis with minimal dialysate outflow
Question 5 of 5
A nurse is providing peritoneal dialysis to a child and observes there is minimal dialysate outflow at the end of the outflow time. Which of the following actions should the nurse take?
Correct Answer: C
Rationale:
Correct
Answer: C. Instruct the child to change position.
Rationale: Changing the child's position can help redistribute the dialysate within the peritoneal cavity, promoting better outflow. This can help overcome any potential blockages or obstructions that may be impeding the flow of dialysate. Additionally, changing position can help prevent the dialysate from becoming stagnant in one area, improving the effectiveness of peritoneal dialysis.
Incorrect
Choices:
A: Increasing oral fluid intake may help with hydration but will not directly address the issue of minimal dialysate outflow.
B: Increasing the dwell time during the next dialysis infusion may lead to increased absorption of waste products but will not address the current issue of minimal outflow.
D: Assessing for a bruit at the site of the peritoneal catheter is important for monitoring catheter function but will not directly address the current issue of minimal outflow.