ATI RN
ATI RN Pediatric Nursing 2023 II Questions
Extract:
Question 1 of 5
A nurse is teaching the parent of a school-age child about bicycle safety. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Your child should walk the bicycle through intersections. This instruction is crucial for bicycle safety as it reduces the risk of accidents at intersections where visibility may be limited. Walking the bicycle allows the child to be more aware of their surroundings and potential hazards.
Choice A is incorrect because a child should always ride the bicycle with traffic flow, not against it, to avoid collisions with oncoming vehicles.
Choice B is incorrect as keeping the bicycle at least 3 feet from the curb may actually increase the risk of collisions with vehicles or obstacles on the road. Riding closer to the curb is safer.
Choice D is incorrect as the child's feet should be able to touch the ground while seated on the bicycle for stability and control, not 3 to 6 inches off the ground.
Overall, the correct answer emphasizes safety and awareness at intersections, making it the most appropriate choice for teaching bicycle safety to a child.
Question 2 of 5
A nurse is caring for a 1-week-old newborn who has hyperbilirubinemia and is being treated with phototherapy. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Monitor the newborn's temperature every 2 hr. This is important because phototherapy can lead to heat loss in newborns, making them prone to hypothermia. By monitoring the temperature every 2 hours, the nurse can promptly detect any changes and take appropriate measures to maintain the newborn's body temperature within a safe range. Checking the newborn's eyes every 8 hours (
A) is not directly related to the management of hyperbilirubinemia or phototherapy. Placing mittens on the newborn's hands (
B) is not necessary for this situation. Applying lotion to the newborn's skin (
D) is also not relevant to managing hyperbilirubinemia.
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: C
Rationale: The correct answer is C: Implement a 3 hr feeding schedule. In heart failure, infants may have difficulty feeding due to shortness of breath and fatigue. Implementing a 3-hour feeding schedule allows for adequate rest between feedings, reducing the risk of overwhelming the infant's cardiovascular system and promoting better feeding efficiency.
Choice A is incorrect because allowing the infant to self soothe by crying prior to feeding can lead to increased stress and may worsen the infant's heart failure symptoms.
Choice B is incorrect as placing the infant in a recumbent position during feeding can increase the workload on the heart and may lead to aspiration or choking.
Choice D is incorrect because allowing the infant 45 minutes for each feeding may lead to fatigue and may not be well tolerated by an infant with heart failure.
In summary,
Choice C is the correct option as it promotes adequate rest and optimal feeding for an infant with heart failure, while the other choices may pose risks or challenges for the infant's
Question 4 of 5
A nurse is caring for a child who is receiving conditioning therapy for enuresis. Which of the following statements by the child's parent indicate the treatment is effective?
Correct Answer: C
Rationale: The correct answer is C: "My child went to the bathroom two times when the alarm went off last night." This indicates the treatment is effective because the conditioning therapy involves using a bedwetting alarm to wake the child when they start to urinate, teaching them to wake up to use the bathroom. Going to the bathroom when the alarm goes off shows the child is responding to the alarm by waking up and using the bathroom, which is the desired outcome of the therapy.
Other choices are incorrect:
A: Holding urine for 15 minutes may not necessarily indicate treatment effectiveness.
B: Drinking less is not a direct indicator of treatment effectiveness for enuresis.
D: Kegel exercises do not directly relate to the effectiveness of conditioning therapy for enuresis.
Question 5 of 5
A nurse is assessing a school-age child who is receiving prednisolone. For which of the following adverse effects should the nurse monitor?
Correct Answer: B
Rationale: The correct answer is B: Prolonged wound healing. Prednisolone is a corticosteroid that can delay wound healing by suppressing the immune response and reducing inflammation. The nurse should monitor for signs of delayed wound healing, such as increased redness, swelling, or drainage at the wound site. Stevens-Johnson syndrome (
A) is a severe allergic reaction, not typically associated with prednisolone. Hypotension (
C) is more commonly seen with other medications like antihypertensives. Renal failure (
D) is not a common adverse effect of prednisolone.