ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
Question 1 of 5
A nurse is teaching the guardian of a toddler about discipline. Which of the following statements by the guardian indicates an understanding of the teaching?
Correct Answer: A
Rationale:
Correct
Answer: A: "I will use reasoning to explain to my child why their behavior was wrong."
Rationale:
1. Using reasoning helps the child understand the consequences of their actions, promoting learning.
2. It encourages open communication and trust between the child and the guardian.
3. It helps the child develop critical thinking skills and self-regulation.
Summary of Incorrect
Choices:
B. Ignoring temper tantrums doesn't address the behavior and may reinforce it.
C. Giving only one warning may not provide enough opportunity for learning and behavior correction.
D. Reminding of past misbehavior can lead to resentment and may not effectively address the current behavior.
Extract:
5-month-old infant
Question 2 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: D
Rationale: The correct answer is D: Exhibits head lag when pulled to a sitting position. This finding indicates poor head control, a developmental milestone typically achieved by 4 months. The nurse should report this to the provider for further evaluation as it may indicate potential developmental delays or neurological issues.
Incorrect answers:
A: Unable to roll from back to abdomen - Rolling typically starts around 4-6 months, so it may not be a concern at 5 months.
B: Absent grasp reflex - The grasp reflex typically disappears around 3-4 months, so its absence at 5 months is normal.
C: Unable to hold a bottle - This milestone is usually achieved around 6-10 months, so it may not be a concern at 5 months.
Extract:
Question 3 of 5
A nurse is assessing a child for scabies. Which of the following findings should the nurse identify as a manifestation of scabies?
Correct Answer: A
Rationale: The correct answer is A: Maculopapular skin burrows on the hand. Scabies is caused by the Sarcoptes scabiei mite burrowing into the skin, resulting in characteristic burrows typically found in webs of fingers, wrists, and elbows. Scaly lesions (
B) and a rash with red macular lesions (
D) are not specific to scabies. A bull's eye edematous area (
C) is more indicative of Lyme disease.
Extract:
School-age child receiving morphine
Question 4 of 5
A nurse is assessing a school-age child who is receiving morphine. For which of the following adverse effects should the nurse monitor?
Correct Answer: C
Rationale: The correct answer is C: Nausea. When a child is receiving morphine, nausea is a common adverse effect due to the medication's action on the gastrointestinal tract. The nurse should monitor for nausea to address it promptly and ensure the child's comfort. Stevens-Johnson syndrome (
A) is a severe skin reaction mainly caused by medications other than morphine. Prolonged wound healing (
B) is not a typical adverse effect of morphine. Renal failure (
D) is not directly associated with morphine use in school-age children.
Extract:
Question 5 of 5
A nurse is performing a cranial nerve assessment on a school-age child. Which of the following findings indicates proper functioning of the child's trigeminal nerve?
Correct Answer: D
Rationale: The correct answer is D because symmetrical jaw strength when biting down indicates proper functioning of the trigeminal nerve. This nerve controls sensation in the face and motor functions such as biting and chewing. A, B, and C are incorrect as they do not specifically assess the trigeminal nerve. A tests the glossopharyngeal nerve, B tests the vestibular nerve, and C tests the olfactory nerve. By assessing jaw strength, the nurse can determine if the child's trigeminal nerve is functioning correctly.