ATI RN
ATI RN Pediatric Nursing 2023 Exam 3 Questions
Extract:
Question 1 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 increased work of breathing. Implementing a 3 hr feeding schedule ensures the infant has enough time to rest and conserve energy between feedings, reducing the risk of fatigue and respiratory distress.
Choices A and D are incorrect as they do not address the specific needs of an infant with heart failure.
Choice B is incorrect as placing the infant in a recumbent position during feeding can worsen respiratory distress.
Question 2 of 5
A nurse is applying soft limb restraints to a child who is acting aggressively toward staff. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Secure the restraints with a quick-release knot. This is important for the safety of the child as quick-release knots allow for easy removal in case of an emergency. Tying restraints to the side rails (option
A) can increase the risk of injury. Requesting prescription renewal every 48 hours (option
B) is important but not the immediate action needed. Assessing the child every 4 hours (option
D) is essential but secondary to ensuring proper restraint application.
Question 3 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 4 of 5
A nurse is preparing a child for a lumbar puncture. In which of the following positions should the child be placed for the procedure?
Correct Answer: B
Rationale: The correct answer is B: Lateral. Placing the child in the lateral position for a lumbar puncture allows for better visualization of the spinal landmarks and facilitates easier access to the lumbar region for the procedure. This position also helps minimize the risk of complications such as nerve injury or leakage of cerebrospinal fluid. Other positions are incorrect: A: Prone would not provide the optimal access needed for a lumbar puncture. C: Supine does not allow for proper alignment of the spine. D: Semi-Fowler's position would not provide the necessary exposure of the lumbar region.
Question 5 of 5
A nurse is providing teaching to the guardian of an 11-month-old infant who has acute diarrhea. Which of the following food items should the nurse instruct the parent to provide to the infant?
Correct Answer: A
Rationale: The correct answer is A: Oral electrolyte solution. This is because infants with acute diarrhea are at risk of dehydration due to fluid loss. Oral electrolyte solution helps replace lost fluids and electrolytes, preventing dehydration. Applesauce, white grape juice, and chicken soup are not recommended for infants with acute diarrhea as they can worsen diarrhea symptoms or lack the necessary electrolytes to rehydrate the infant. It is crucial to prioritize rehydration with oral electrolyte solution in managing acute diarrhea in infants.