ATI RN
ATI RN Pediatrics Nursing 2023 I Questions
Extract:
Nurses' Notes Day 1, 1020: Child is a direct admit from a pediatric clinic with fever, chills, irritability for 2 days, prior URI 2 weeks ago, no prior conditions, fully immunized. 1030: Child reports nausea, headache (7/10), lethargic, nuchal rigidity, capillary refill 4 seconds.
Question 1 of 5
A pediatrician has evaluated the child and has written new prescriptions. The nurse is preparing to assist with a lumbar puncture. Which of the following actions should the nurse take? Select all that apply.
Correct Answer: A,D,E,G
Rationale: Correct answer: A, D, E, G
A: Apply pressure to the puncture site following the procedure - This is important to prevent bleeding and promote clotting.
D: Ensure the guardian has signed the consent form prior to the procedure - This is a legal and ethical requirement to ensure informed consent.
E: Ensure the child voids prior to the procedure - This helps reduce the risk of post-procedure urinary retention.
G: Monitor for paresthesia and tingling in extremities following the procedure - This is important to assess for potential nerve damage or complications.
Incorrect choices:
B: Limit the child's fluid intake following the procedure - There is no need to limit fluid intake post-lumbar puncture.
C: Position the child in a prone position during the procedure - The child should be in a lateral decubitus position for a lumbar puncture.
F: Insert an indwelling urinary catheter during the procedure - There is no indication for inserting a catheter
Extract:
Flow Sheet Day 1, 1030: Temperature 38.7° C (101.7° F), Heart rate 114/min, Respiratory rate 26/min, Blood pressure 114/80 mm Hg, SpO2 97% on room air; Day 2, 0730: Temperature 38.9° C (102° F), Heart rate 104/min, Respiratory rate 24/min, Blood pressure 104/80 mm Hg, SpO2 98% on room air; Nurses' Notes Day 2, 0730: Drowsy and lethargic, nuchal rigidity present, mucous membranes pink and moist, cervical lymph slightly enlarged, respirations regular, radial pulse 2+, capillary refill <2 seconds, good skin turgor.
Question 2 of 5
A nurse is caring for the child the following day. Click to highlight the findings that indicate the child is progressing as expected.
Correct Answer: A,C,D,E,F,G,
Rationale: The correct choices indicate positive progress in the child's condition. Pink and moist mucous membranes (
A) indicate adequate perfusion. A radial pulse 2+ bilateral (
C) signifies good circulation. Capillary refill <2 seconds (
D) indicates proper blood flow. Active bowel sounds (E) suggest normal gastrointestinal function. Warm and dry extremities (F) indicate adequate circulation. Good skin turgor (G) reflects proper hydration status. These findings collectively show the child is progressing as expected.
Choices B is incorrect as clear breath sounds alone do not indicate overall improvement.
Extract:
A nurse is providing teaching about nutrition to the guardian of a school-age child who has lactose intolerance.
Question 3 of 5
The nurse should identify which of the following foods as the best source of calcium?
Correct Answer: A
Rationale: The correct answer is A: 1 cup raw broccoli. Broccoli is a high-calcium vegetable. It provides a good amount of calcium per serving, aiding in bone health. Raw broccoli retains more nutrients compared to cooked broccoli. The other choices are incorrect because: B: White bread lacks significant calcium content. C: One poached egg has minimal calcium. D: Peanut butter has negligible calcium content. E, F, G: No additional choices given.
Extract:
A nurse is providing teaching about participating in sports to a 12-year-old child who has hemophilia.
Question 4 of 5
Which of the following sports should the nurse recommend?
Correct Answer: D
Rationale: The correct answer is D: Bowling. The nurse should recommend bowling because it is a low-impact sport suitable for individuals of all ages and fitness levels. Bowling helps improve hand-eye coordination, balance, and social interaction. It is a safe and enjoyable activity that can be done indoors, making it accessible year-round. Additionally, bowling can be a stress-relieving and fun way to stay active.
Other choices are incorrect because basketball and soccer are high-impact sports that may not be suitable for everyone, especially those with certain health conditions or physical limitations. Gymnastics requires a higher level of flexibility and strength, which may not be suitable for everyone.
Extract:
A nurse is teaching a parent of a 4-month-old infant who has developmental dysplasia of the hip and is prescribed a Pavlik harness.
Question 5 of 5
Which of the following instructions on the use of a Pavlik harness should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Place the diaper under the straps. Placing the diaper under the straps helps prevent skin irritation and chafing by creating a barrier between the straps and the baby's skin. This instruction promotes skin integrity and comfort for the infant.
Explanation for why the other choices are incorrect:
A: Avoid massaging the skin under the straps - Massaging the skin under the straps could cause discomfort and potentially disrupt the proper positioning of the harness.
B: Use lotion on the skin under the harness - Lotions can interfere with the harness's effectiveness and may cause slippage. It is best to avoid using lotions under the harness.
C: Adjust the harness straps weekly - The straps of the Pavlik harness need to be regularly adjusted as per the healthcare provider's instructions, not necessarily weekly.
Overall, choice D is the correct instruction for ensuring the safety and comfort of the infant while using the Pavlik harness.