ATI RN
ATI RN Pediatric Nursing 2023 I Questions
Extract:
Question 1 of 5
A nurse is teaching home care to the parents of a preschool-age child who has heart failure. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale:
Correct
Answer: A. Provide for periods of rest.
Rationale: Children with heart failure have reduced cardiac output, leading to fatigue. Providing periods of rest helps conserve energy and prevent exhaustion, improving the child's overall well-being and supporting cardiac function.
Summary of Incorrect
Choices:
B: Increasing oxygen flow rate based on cyanosis can lead to oxygen toxicity and is not a recommended approach for managing heart failure.
C: Digoxin is a crucial medication for heart failure management. Withholding it based solely on heart rate without consulting a healthcare provider can be dangerous.
D: Weighing the child once a month is not frequent enough for monitoring fluid status in heart failure, where daily weights are recommended.
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 how the client prefers to learn new information is important when educating adolescents. This approach promotes autonomy and engagement in their own healthcare. By understanding the client's preferred learning style, the nurse can tailor the teaching to be more effective and ensure better understanding and adherence to medication instructions.
Choice A is incorrect because the nurse should be the primary source of information for the adolescent regarding their medication, not the pharmacy.
Choice B is inappropriate as adolescents have the right to privacy and should be involved in their own healthcare decisions.
Choice C is not ideal as it undermines the adolescent's autonomy and may not be effective in promoting learning.
Question 3 of 5
A nurse is assessing a 5-month-old infant. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Exhibits head lag when pulled to a sitting position. This finding is concerning because by 5 months, infants should have minimal head lag when pulled to a sitting position, indicating poor head control, which could be a sign of developmental delay or neurological issue. A: Unable to roll from back to abdomen is a milestone achieved around 5-6 months and not a cause for concern at this age. C: Unable to hold a bottle is typically seen around 6-7 months and is not a critical concern at 5 months. D: Absent grasp reflex is normal at this age as the grasp reflex typically disappears by 3-4 months.
Question 4 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: D
Rationale: The correct answer is D: Time the episode. Timing the seizure is crucial for determining the duration, which helps in guiding treatment decisions and assessing potential complications. Administering chlorothiazide (
A) is not indicated during a seizure. Holding the child down (
B) can be harmful and may lead to injury. Placing the child in a prone position (
C) can obstruct breathing. Monitoring the duration of the seizure (
D) is essential for proper management.
Question 5 of 5
A nurse is providing discharge teaching to the guardian of a child who has cystic fibrosis. Which of the following statements by the guardian indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A: "I will ensure that my child consumes a high-calorie diet." This statement indicates an understanding of the teaching because children with cystic fibrosis often have difficulty maintaining weight due to malabsorption. A high-calorie diet helps to meet their increased energy needs.
Choice B is incorrect because sweat chloride testing is usually done more frequently than annually for monitoring cystic fibrosis.
Choice C is incorrect because pancrelipase medication should be taken with meals, not chewed before eating.
Choice D is incorrect because dornase alfa is not used for wheezing but for improving lung function in cystic fibrosis.