ATI RN
ATI RN Pediatric Nursing 2023 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is teaching the guardian of a newborn about how to prepare their 3-year-old child to meet their new sibling. Which of the following statements should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: Provide a doll for your 3-year-old child to imitate parental behaviors. This is the best option as it allows the child to practice and understand the concept of having a new sibling through play. By imitating parental behaviors with the doll, the child can learn caregiving skills and prepare for the arrival of the new sibling.
Choice A is incorrect because abruptly changing all routines may cause stress and confusion for the child.
Choice C is incorrect as simply telling the child they will have a new playmate may not adequately prepare them for the changes that come with a new sibling.
Choice D is incorrect because it is important to transition the child from crib to bed before the newborn arrives to avoid associating the change with the new sibling.
Question 2 of 5
A nurse is assessing a child who has measles. Which of the following areas should the nurse inspect for Koplik spots?
Correct Answer: C
Rationale: The correct answer is C: Inside of the cheeks. Koplik spots are small white spots with a bluish-white center on the buccal mucosa opposite the molars. These spots are specific to measles and appear before the characteristic rash. Inspecting the inside of the cheeks allows the nurse to identify these spots early, aiding in prompt diagnosis and appropriate management. The other areas listed (forehead, chest, back) are not associated with the presence of Koplik spots in measles.
Question 3 of 5
A nurse is preparing to assess a 4-year-old child's visual acuity. Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: The correct answer is D, using a tumbling E chart for the assessment. This type of chart is commonly used for young children due to its simplicity - the child is asked to identify the direction the "E" is facing. This helps assess visual acuity accurately in children who may not yet know letters. Assessing both eyes together first (choice
A) may lead to inaccuracies. Positioning the child 4.6 meters away (choice
B) is too far for a child's assessment. Testing without glasses first (choice
C) may not provide an accurate baseline. Overall, using a tumbling E chart is the most appropriate method for assessing visual acuity in a 4-year-old child.
Question 4 of 5
A nurse is assessing a preschool-age child who is in the immediate postoperative period following a tonsillectomy. Which of the following assessment findings is the priority?
Correct Answer: D
Rationale: The correct answer is D: The child swallows frequently. This is the priority assessment finding post-tonsillectomy as it may indicate bleeding, which can be life-threatening. Swallowing frequently can suggest blood pooling at the surgical site, leading to hemorrhage. A prompt assessment and intervention are crucial to prevent further complications.
Choices A, B, and C are not as high priority because throat pain, refusal of clear liquids, and crying are common after tonsillectomy and do not pose immediate life-threatening risks.
Question 5 of 5
A nurse is providing teaching to the guardian of a 2-year-old child about typical toddler behavior. Which of the following behaviors should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Frequent negative responses.
Toddlers often exhibit negative responses as they are learning to express their independence and emotions. This behavior is typical as they navigate through their developmental stage. Resistant to routines (
A) is not typically seen in toddlers as they thrive on predictability. Less emotionally labile (
C) is not characteristic of toddlers, who often have intense emotions. Increased dependency (
D) is not a typical behavior for toddlers, as they are exploring their independence. Thus, the best choice is B as it aligns with the normal behavior of a 2-year-old child.