ATI RN
ATI Pediatrics Proctored Questions
Extract:
A 6-month-old infant
Question 1 of 5
A nurse is teaching a parent of a 6-month-old infant about home safety. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A,B
Rationale: The correct answer is A and B. A gate at the top and bottom of the stairs prevents falls, a common hazard for infants. Placing the crib mattress in the lowest position reduces the risk of the infant climbing out and falling. Removing toxic substance labels (
C) can be dangerous as it may lead to accidental ingestion. Keeping toilet lids upright (
D) poses a drowning risk. A toy chest with a heavy, hinged lid (E) may cause injury if it falls on the child.
Therefore, A and B are the safest options for infant home safety.
Extract:
A client with a halo vest for cervical vertebral fracture
Question 2 of 5
A nurse is caring for a client who is postoperative placement of a halo vest to manage a cervical vertebral fracture. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Reposition the client using a turning sheet. This action is important to prevent complications such as pressure ulcers and skin breakdown. Turning the client using a turning sheet helps distribute pressure evenly and prevents prolonged pressure on any one area, which is crucial for clients with cervical vertebral fractures. Encouraging flexion and extension of the neck (choice
A) can be harmful and should be avoided to maintain stability. Assessing the pin sites for infection once every other day (choice
B) is important but not the immediate priority for this client. Tightening the screw on the halo device (choice
D) should be done as per healthcare provider's instructions, not every 48 hours.
Extract:
A group of clients
Question 3 of 5
A nurse is caring for a group of clients. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B because an 18-month-old toddler with a heart rate of 68/min is outside the normal range for that age group (normal range is 80-130/min). This finding may indicate bradycardia, which can be a sign of a potential health issue and should be reported to the provider for further evaluation.
A: A rectal body temperature of 37.3 C in a school-age child is within the normal range (36.1-37.8
C).
C: A BP of 132/82 mm Hg in an adolescent is within the normal range for that age group (<120/<80 mm Hg).
D: A respiratory rate of 36/min in a 3-month-old infant is within the normal range (30-60/min).
Extract:
A child with impetigo
Question 4 of 5
A nurse is providing teaching to the parent of a child who has impetigo. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Apply bactericidal ointment to lesions. Impetigo is a bacterial skin infection, so applying a bactericidal ointment will help eliminate the bacterial source of the infection. This step is crucial in treating impetigo effectively.
A: Seal soft toys in a plastic bag for 14 days - This is not necessary as impetigo is spread through direct contact with the infected skin, not through toys.
B: Soak hairbrushes in boiling water for 10 min - While it's important to maintain good hygiene practices, impetigo is not typically spread through hairbrushes, so this step is not necessary for treating impetigo.
C: Administer acyclovir PO two times per day - Acyclovir is an antiviral medication used to treat viral infections like herpes, not bacterial infections like impetigo.
In summary, the correct answer is D because it directly addresses the bacterial infection causing
Extract:
An adolescent with major depressive disorder
Question 5 of 5
A nurse is caring for an adolescent who has major depressive disorder. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D: Ask the client if he is considering harming himself. This should be the first action because it assesses the client's safety. Suicidal ideation is a serious concern in major depressive disorder. Administering an antidepressant (
A) should come after assessing safety. Encouraging group therapy (
B) and assisting with ADLs (
C) are important but addressing safety is the priority.