ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
Question 1 of 5
A nurse is teaching about nutrition to the guardian of a 2-year-old toddler. Which of the following statements should the nurse include in the teaching?
Correct Answer: A
Rationale: A 2-year-old requires about 1,000 to 1,400 calories daily to support growth and development.
Extract:
A nurse is planning care for a child who is in the acute stage of nephrotic syndrome.
Question 2 of 5
Which of the following interventions should the nurse include in the plan of care?
Correct Answer: A
Rationale: The correct answer is A: Weigh the child once per day. This intervention is essential for monitoring the child's nutritional status and overall health. Daily weight checks can help detect changes in weight, which may indicate fluid retention, malnutrition, or other health issues. Increasing fluid intake to 2 L/day (
B) could be excessive for a child depending on age and weight. Positioning the child supine at bedtime (
C) may not be relevant to the plan of care. Limiting calorie intake to 45 cal/kg/day (
D) without proper assessment may not be suitable for the child's individual needs.
Extract:
Question 3 of 5
A nurse is planning care for a child who is in the acute stage of nephrotic syndrome. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: C
Rationale: Rationale for correct answer (
C): Weighing the child daily is crucial in monitoring fluid status in nephrotic syndrome. Sudden weight gain indicates fluid retention, a common symptom. This intervention helps assess treatment effectiveness and prevent complications like edema and hypertension.
Summary of incorrect choices:
A: Positioning supine can worsen edema due to fluid accumulation in dependent areas.
B: Limiting calorie intake may be necessary in some cases, but not a priority in the acute stage.
D: Increasing fluid intake may exacerbate fluid overload and worsen edema.
E, F, G: No information provided.
Question 4 of 5
A nurse is planning postoperative care for an adolescent following scoliosis repair with spinal instrumentation. Which of the following actions should the nurse include in the plan of care?
Correct Answer: C
Rationale: The correct answer is C: Ensure two nurses logroll the adolescent every 2 hr. This action is crucial to prevent complications and maintain proper spinal alignment post-surgery. Logrolling involves turning the patient as a unit to prevent twisting or bending of the spine. It helps to avoid putting pressure on the surgical site and reduces the risk of injury. Maintaining the head of the bed at a 30° angle (
A) may be necessary for respiratory comfort but does not address the specific postoperative spinal care needed. Assisting the adolescent to ambulate 12 hr following surgery (
B) may be too soon and could risk injury. Offering sips of water 4 hr following surgery (
D) can be appropriate, but ensuring proper positioning and spinal care is more critical in the immediate postoperative period.
Question 5 of 5
A nurse is caring for a toddler who has impetigo. Which of the following actions by the nurse indicates an understanding of how impetigo is spread?
Correct Answer: B
Rationale: The correct answer is B: Wearing gloves when assessing the toddler. Impetigo is primarily spread through direct contact with the infected skin or items contaminated with the bacteria. Wearing gloves during assessment prevents the nurse from coming into direct contact with the lesions, reducing the risk of spreading the infection.
A: Initiating droplet precautions is not necessary for impetigo as it is not transmitted through respiratory droplets.
C: Placing the toddler in a negative airflow room is not required for impetigo, as it is not an airborne infection.
D: Providing a protective environment is a broad term and does not specifically address the mode of transmission of impetigo.