ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
Infant with a new diagnosis of heart failure
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: D
Rationale: Infants with heart failure tire easily. A 3-hour feeding schedule allows smaller, frequent feedings to avoid overexertion. A. Recumbent positioning worsens breathing. B. 45 minutes is too long, risking fatigue. C. Crying increases oxygen demand, which is harmful.
Extract:
Question 2 of 5
A nurse is caring for a group of clients. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale:
Correct Answer: D. Heart rate of 68/min is below normal (80-130 bpm) for an 18-month-old, suggesting bradycardia. A. BP is high-normal but not urgent. B. 30/min respiratory rate is normal. C. 37.3°C is a low-grade fever, not critical.
Extract:
School-age child receiving cefazolin
Question 3 of 5
A nurse is assessing a school-age child who is receiving cefazolin. For which of the following adverse effects should the nurse monitor?
Correct Answer: B
Rationale:
Correct Answer: B. Stevens-Johnson syndrome is a rare but serious adverse effect of antibiotics like cefazolin. A. Hypotension isn’t typical. C. Cefazolin doesn’t delay healing. D. Bradypnea isn’t associated.
Extract:
Toddler who is cognitively impaired
Question 4 of 5
A nurse is evaluating the pain level of a toddler who is cognitively impaired to a non-pharmacologic intervention. Which of the following pain scales should the nurse use to evaluate the toddler's pain level?
Correct Answer: A
Rationale: The FLACC scale (Faces, Legs, Activity, Cry, Consolability) assesses pain via observable behaviors, ideal for cognitively impaired toddlers. B. Visual analog requires self-reporting, unsuitable for this age and impairment. C. FACES needs comprehension of expressions, not ideal here. D. CRIES is for neonates.
Extract:
4-month-old infant during a well-baby visit
Question 5 of 5
A nurse is assessing a 4-month-old infant during a well-baby visit. For which of the following findings should the nurse notify the provider?
Correct Answer: A
Rationale: Doll's eye reflex should fade by 2 months; persistence at 4 months suggests neurological issues. B. No head lag is normal by 4 months. C. Positive Babinski is normal up to 12-24 months. D. Tears by 4 months are a normal milestone.