ATI RN
ATI RN Pediatric Nursing 2023 I Questions
Extract:
Question 1 of 5
A nurse is teaching a newly licensed nurse about infant safety. Which of the following information should the nurse include in the teaching?
Correct Answer: C
Rationale: Correct Order: C
Rationale: Providing an infant with a one-piece pacifier for non-nutritive sucking is essential for infant safety as it reduces the risk of choking or aspiration. This type of pacifier is designed to prevent any potential hazards associated with pacifier use. It is important to educate new nurses about safe practices when it comes to infant care.
Summary of Incorrect
Choices:
A: Placing a 5-month-old infant in a high chair to feed is not safe as infants of this age may not have the necessary head control or stability to sit upright in a high chair. This could lead to a risk of falls or injuries.
B: Positioning a 1-month-old infant supine on a soft mattress increases the risk of sudden infant death syndrome (SIDS). Infants should be placed on their back on a firm mattress to reduce the risk of SIDS.
D: Securing the infant's car seat behind an airbag is dangerous as airbags can cause serious
Extract:
Nurses' Notes 0930: Parent presents child to provider's office. Parent reports the child has had a fever for 2 days and that the child has cried more than usual. Parent also reports the child has had a decreased appetite for the last 24 hr. Child febrile and lethargic. 0945: Notified provider of parent reports and child's fever. New prescriptions received. 1000: Urine sample obtained via sterile straight catheter. Vital Signs 0930: Temperature 38.4° C (101.1° F), Heart rate 128/min, Respiratory rate 28/min. Diagnostic Results 1030: Urinalysis: Appearance: cloudy and dark amber (clear), Specific gravity 1.035 (1.005 to 1.030), Leukocyte esterase: positive (negative), Nitrites: present (none), WBCS: 10 (0 to 4).
Question 2 of 5
Select words from the choices to fill in each blank in the following sentence. The child is at risk for developing ______ and _______.
Correct Answer: A,D
Rationale: The correct answer is A (Nephrotic syndrome) and D (Acute glomerulonephritis). Nephrotic syndrome is a kidney disorder characterized by proteinuria and edema, common in children. Acute glomerulonephritis is inflammation of the kidney's glomeruli often caused by infections. Both conditions put the child at risk for kidney damage and long-term complications.
Choices B, C, and E are not directly related to the child's risk of developing kidney issues. Renal scarring is typically a result of past infections or injuries, not a direct risk factor. Polycystic kidney disease is a genetic condition, and pyelonephritis is a bacterial infection of the kidney.
Therefore, A and D are the most appropriate choices given the context of the sentence.
Extract:
Question 3 of 5
A nurse is caring for a 4-year-old child who has meningitis and is receiving gentamicin. Which of the following laboratory values should the nurse report to the provider?
Order the Items
Source Container
Correct Answer: A
Rationale: The correct order is: A, B, C, D. The nurse should report a high creatinine level (1.4 mg/dL) as it indicates possible kidney damage from gentamicin, which is nephrotoxic. A low creatinine level (0.3 mg/dL) is within the normal range and not concerning. BUN levels are not as specific for kidney damage as creatinine, so a slightly high (12 mg/dL) or low (6 mg/dL) BUN level may not be as urgent to report.
Question 4 of 5
A nurse is assessing a 6-month-old infant who has respiratory syncytial virus. The nurse should immediately report which of the following findings to the provider?
Correct Answer: D
Rationale: The correct answer is D: Tachypnea. In infants with respiratory syncytial virus (RSV), tachypnea (rapid breathing) is a concerning sign indicating respiratory distress and potential respiratory failure. Reporting this finding promptly to the provider is crucial for timely intervention. Rhinorrhea (
A), pharyngitis (
B), and coughing (
C) are common symptoms of RSV but do not signify immediate danger. Tachypnea (
D) requires urgent attention due to its association with respiratory compromise.
Question 5 of 5
A nurse is providing teaching about injury prevention to the parents of a toddler. Which of the following safety measures should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Check clothing for loose buttons. This is important because loose buttons can pose a choking hazard to toddlers. By checking and securing clothing items, parents can prevent accidental ingestion.
Choice B is incorrect as the recommended water heater temperature for safety is 49°C (120°F), not 54°C.
Choice C is relevant for preventing falls but not directly related to injury prevention from choking hazards.
Choice D is incorrect because balloons are a choking hazard for young children.