ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
Preschool-age child with heart failure
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. Rest prevents overexertion in heart failure. B. Oxygen should be per prescription, not adjusted freely. C. Digoxin is withheld for low, not high, pulse. D. Daily weights monitor fluid status, not monthly.
Extract:
Client postoperative following placement of a halo vest to manage a cervical vertebral fracture
Question 2 of 5
A nurse is caring for a client who is postoperative following placement of a halo vest to manage a cervical vertebral fracture. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Pin site care is crucial to prevent infection. The nurse should assess the pin sites regularly for signs of infection, such as redness, swelling, drainage, or increased pain. A. Using a turning sheet could disturb spinal alignment. B. Tightening screws without direction can harm the client. C. Neck movement is contraindicated with a halo vest.
Extract:
Infant with a new diagnosis of heart failure
Question 3 of 5
A nurse is teaching the parent of an infant who has a new diagnosis of heart failure about nutrition. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: Infants with heart failure tire easily. A 3-hour feeding schedule allows smaller, frequent feedings to avoid overexertion. A. Recumbent positioning worsens breathing. B. 45 minutes is too long, risking fatigue. C. Crying increases oxygen demand, which is harmful.
Extract:
Toddler who is cognitively impaired
Question 4 of 5
A nurse is evaluating the pain level of a toddler who is cognitively impaired to a non-pharmacologic intervention. Which of the following pain scales should the nurse use to evaluate the toddler's pain level?
Correct Answer: A
Rationale: The FLACC scale (Faces, Legs, Activity, Cry, Consolability) assesses pain via observable behaviors, ideal for cognitively impaired toddlers. B. Visual analog requires self-reporting, unsuitable for this age and impairment. C. FACES needs comprehension of expressions, not ideal here. D. CRIES is for neonates.
Extract:
Child in the acute stage of nephrotic syndrome
Question 5 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: B
Rationale: Daily weighing monitors fluid retention, critical in nephrotic syndrome. A. Increased fluids worsen edema. C. Supine positioning may increase edema; elevation helps. D. Calorie restriction harms recovery.