ATI RN Pediatrics 2023 | Nurselytic

Questions 132

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ATI RN Pediatrics 2023 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: A

Rationale: The correct answer is A: Provide an infant with a one-piece pacifier for non-nutritive sucking. This is the correct choice because using a one-piece pacifier reduces the risk of choking compared to pacifiers with separate parts. Pacifiers can also help reduce the risk of Sudden Infant Death Syndrome (SIDS) when used during sleep.


Choice B is incorrect because infants should not be placed in a high chair until they can sit up independently, usually around 6 months old.
Choice C is wrong as car seats should never be placed behind an airbag, as it can be dangerous in the event of a crash.
Choice D is incorrect because infants should be placed on a firm mattress on their back to reduce the risk of SIDS.

Extract:

15-year-old adolescent about a medication for STI


Question 2 of 5

A nurse is providing teaching to a 15-year-old adolescent about a medication used to treat a sexually transmitted infection. Which of the following actions should the nurse take?

Correct Answer: D

Rationale: The correct answer is D because asking the client how they prefer to learn new information involves individualizing the teaching approach to best suit the adolescent's learning style and preferences. This approach is crucial in promoting understanding and retention of the information provided. It also empowers the adolescent to take an active role in their own healthcare, which is important for their autonomy and development.


Choice A is incorrect as the nurse should provide direct education and support instead of redirecting the client to the pharmacy.
Choice B is not ideal because the adolescent should be the primary recipient of the education about their own health.
Choice C is not recommended as it does not actively involve the adolescent in the learning process. Overall, choice D is the most appropriate as it respects the adolescent's autonomy and promotes effective communication and learning.

Extract:

School-age child having a tonic-clonic seizure


Question 3 of 5

A nurse is caring for a school-age child who is having a tonic-clonic seizure. Which of the following actions should the nurse take?

Correct Answer: A

Rationale: The correct action is A: Time the episode. Timing the seizure helps monitor its duration, which is crucial for determining if medical intervention is needed. Administering chlorothiazide (
B) is not indicated for seizures. Placing the child in a prone position (
C) can lead to airway obstruction. Holding the child down (
D) can cause injury and is not recommended during a seizure.

Extract:

3-month-old infant with diarrhea


Question 4 of 5

A nurse is assessing a 3-month-old infant who has diarrhea. Which of the following findings should the nurse expect?

Correct Answer: D

Rationale: The correct answer is D: Increased hematocrit. Diarrhea can lead to dehydration in infants, resulting in a decrease in blood volume and concentration of red blood cells. This can cause an increase in hematocrit levels as the blood becomes more concentrated. Decreased heart rate (choice
A) is not typically associated with diarrhea in infants. Bulging fontanel (choice
B) is a sign of increased intracranial pressure, not related to diarrhea. Polyuria (choice
C) is excessive urination, not typically seen in infants with diarrhea.
Therefore, the correct answer is D as it directly relates to dehydration and the body's compensatory response.

Extract:

1-month-old infant whose parent states, 'My baby seems to cry a lot.'


Question 5 of 5

A nurse is caring for a 1-month-old infant. Which of the following responses should the nurse make?

Correct Answer: A

Rationale: The correct answer is A: "Your baby's crying is a way to communicate with you." This response acknowledges the infant's cry as a form of communication, which is essential at this age. Infants cry to express their needs, such as hunger, discomfort, or fatigue. By validating the infant's communication, the nurse can promote a secure attachment and responsive caregiving.



Choices B and C are incorrect because they may imply blame on the parent or suggest that the crying is abnormal.
Choice D is incorrect as it promotes the outdated belief of letting babies cry it out to self-soothe, which can be harmful and disregards the infant's needs. It is essential to prioritize responsive caregiving and understanding the infant's cues.

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