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:
Rationale: Option D is correct because implementing a 3-hour feeding schedule helps prevent fluid overload in infants with heart failure. This schedule allows for proper digestion and prevents excessive intake that can worsen heart failure symptoms. Placing the infant in a recumbent position (Option
A) can increase the risk of aspiration. Allowing 45 min for each feeding (Option
B) may result in overfeeding. Allowing the infant to self-soothe by crying (Option
C) can lead to stress and worsen the condition.
Therefore, the correct choice is D to manage fluid intake effectively and prevent complications.
Extract:
Group of clients on a pediatric unit
Question 2 of 5
A nurse is caring for a group of clients on a pediatric unit. Which of the following clients is most at risk for insufficient vascular perfusion?
Correct Answer: B
Rationale: The correct answer is B: A school-age child who is in a spica cast. A spica cast can cause constriction on blood vessels leading to compromised vascular perfusion. The weight and pressure from the cast can impede blood flow, increasing the risk of insufficient vascular perfusion. In contrast, choices A, C, and D do not directly impact vascular perfusion. A child receiving IV fluids (
A) is actually receiving hydration support, an adolescent with a urinary tract infection (
C) may have systemic issues but not directly related to vascular perfusion, and a preschooler with otitis media (
D) has an ear infection which does not affect vascular perfusion. This makes choice B the most at risk for insufficient vascular perfusion.
Extract:
Nurses' Notes 0700: 7-year-old client who weighs 18.1 kg (39.9 lb) admitted with a UTI. Child reports pain and burning upon urination and feeling like they need to go to the bathroom all the time. Child's guardian reports the client has been incontinent of urine the past 2 nights and that the urine has a very strong odor.
Question 3 of 5
For each the following interventions, click to specify if the potential intervention is anticipated or contraindicated for the client.
Correct Answer: A: Anticipated, B: Contraindicated, C: Anticipated, D: Contraindicated, E: Contraindicated
Rationale: The correct answer is: A: Anticipated, B: Contraindicated, C: Anticipated, D: Contraindicated, E: Contraindicated.
Rationale:
A: Administering sulfamethoxazole and trimethoprim is anticipated as it is a common antibiotic for treating infections.
B: Salicylic acid is contraindicated for pain and fever in children due to the risk of Reye's syndrome.
C: Educating the child about proper perineal hygiene is anticipated to prevent infections.
D: Advising about sunscreen use is contraindicated as salicylic acid increases sensitivity to sunlight.
E: Restricting fluid intake to 1,200 mL/day is contraindicated as it may lead to dehydration in children.
Summary:
Choices A and C are correct due to their benefits for the client.
Choices B, D, and E are incorrect due to potential risks or
Extract:
Child with HIV
Question 4 of 5
A nurse is providing teaching to a parent of a child who has HIV. Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I will ensure that my child is tested for tuberculosis every year." This statement indicates an understanding of the teaching because children with HIV are at a higher risk for tuberculosis. Regular testing is essential for early detection and treatment.
Incorrect answers:
A: Incorrect because doubling medications without medical advice can be harmful.
B: Incorrect because childhood immunizations should not be repeated in remission.
D: Incorrect because transmission risk doesn't decrease in 2 weeks; consistent treatment is necessary.
Extract:
School-age child with a maintenance prescription for prednisone following an acute asthma attack
Question 5 of 5
A nurse is providing teaching to the parent of a school-age child who has a maintenance prescription for prednisone following an acute asthma attack. Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B: "My child might experience mood swings." This statement indicates understanding because prednisone, a corticosteroid, can cause mood swings as a common side effect. This shows the parent comprehends the potential side effects of the medication.
Choice A is incorrect because withholding medication before physical activity could be dangerous during an asthma attack.
Choice C is incorrect as weekly blood tests are not typically required for monitoring prednisone use.
Choice D is incorrect as decreased appetite is a common side effect but not the best indicator of understanding the teaching.