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: A. Allowing the infant to self-soothe by crying prior to feeding is not appropriate, as it may lead to increased stress and fatigue, which can worsen heart failure symptoms. B. Placing the infant in an upright position during feeding helps to reduce the risk of aspiration and promotes effective swallowing. C. Infants with heart failure have a weakened heart that struggles to pump blood efficiently. Feeding can be tiring for them, and they might not be able to consume large volumes at once. A smaller, more frequent feeding schedule allows them to take in enough calories without overexertion. This approach helps manage their energy expenditure and reduces stress on the heart. D. While some infants might take longer to feed, heart failure can make feeding tiring. Offering smaller, more frequent feedings can help the infant consume enough calories without expending too much energy.
Question 2 of 5
A nurse is caring for a child who has epiglottitis due to an infection with Haemophilus influenzae type B. Which of the following actions should the nurse take? Select all that apply.
Correct Answer: C,D,E
Rationale: A. Inspecting the epiglottis is contraindicated in suspected cases of epiglottitis as it may trigger laryngospasm and compromise the airway. B. Obtaining a throat culture may be indicated to confirm the presence of Haemophilus influenzae type B but is not an immediate priority in the management of epiglottitis. C. Monitoring oxygen saturation is crucial as respiratory distress and hypoxia are common complications of epiglottitis. D. Beginning droplet precautions is important to prevent the spread of the infectious agent to others. E. Initiating IV access is necessary for administering fluids and medications, as well as for potential airway management in severe cases of epiglottitis.
Question 3 of 5
A nurse is providing teaching to the parent of a 10-month-old infant who is having difficulty eating. The parent is feeding their infant goat milk. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: A. Warming goat's milk before feeding does not address the issue of nutritional adequacy or suitability for the infant's age. B. Soy milk may not be appropriate for a 10-month-old infant and may not adequately address nutritional needs. C. Commercially prepared formula is recommended for infants who are not breastfeeding and provides essential nutrients necessary for growth and development. D. Reinitiating breastfeeding may not be feasible or appropriate in this situation if the parent has chosen to feed the infant goat milk.
Question 4 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: A. Checking the newborn's eyes every 8 hours is not directly related to the management of hyperbilirubinemia or phototherapy; eye shields are typically used during phototherapy to protect the eyes. B. Placing mittens on the newborn's hands is not necessary for the management of hyperbilirubinemia or phototherapy. C. Monitoring the newborn's temperature every 2 hours is important during phototherapy to prevent complications such as hypothermia or hyperthermia. D. Applying lotion to the newborn's skin is not recommended during phototherapy as it can interfere with the effectiveness of the treatment.
Question 5 of 5
A nurse is preparing to administer an IM injection to a 3-year-old child. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: A. Offering a prize for not crying may inadvertently suggest to the child that crying is expected and rewarded, potentially increasing anxiety. B. This statement may not provide adequate information to the child about the procedure and may not alleviate anxiety. C. While this statement attempts to minimize the sensation of pain, it may not provide enough reassurance or information about the procedure. D. Allowing the child to choose which leg they receive the injection in empowers them and gives them a sense of control, which can help reduce anxiety and make the experience less stressful.