ATI RN
ATI RN Pediatric Nursing 2023 II Questions
Extract:
Question 1 of 5
A school nurse is assessing a 7-year-old student. The nurse should identify which of the following findings as a potential indicator of physical abuse?
Correct Answer: D
Rationale: Abrasions on the knees could result from normal childhood activities and may not indicate physical abuse. Front deciduous teeth missing could be due to normal tooth loss. Weight in the 45th percentile is within a normal range and does not necessarily indicate physical abuse. Bruising around the wrists is concerning for physical abuse, especially in a pattern consistent with restraining or gripping.
Question 2 of 5
A nurse is caring for a newly admitted child who has cystic fibrosis. For which of the following members of the interprofessional team should the nurse initiate a referral?
Correct Answer: A
Rationale: A dietitian can provide essential guidance on appropriate nutrition and caloric intake, which is crucial for managing cystic fibrosis. Occupational therapists focus on improving fine motor skills and daily living activities, which may not be the primary concern for a child with cystic fibrosis. Speech-language pathologists primarily address speech and language disorders, which may not be directly related to cystic fibrosis. Physical therapists focus on improving mobility and strength, which may be important but may not be the priority in the early management of cystic fibrosis.
Question 3 of 5
A nurse is teaching a group of parents about childhood immunizations. The nurse should identify that infants should receive the first dose of which of the following immunizations at 12 months of age?
Correct Answer: B
Rationale: The first dose of inactivated polio virus vaccine (IPV) is typically administered at 2 months of age, not 12 months. The first dose of varicella vaccine is usually given at 12 months of age. Human papillomavirus (HPV) vaccination typically begins around 11-12 years of age, not at 12 months. Hepatitis B vaccination usually starts at birth, not at 12 months of age.
Question 4 of 5
A nurse is caring for a 5-year-old child following a tonsillectomy and adenoidectomy. Which of the following findings should the nurse identify as an indication of hemorrhage?
Correct Answer: D
Rationale: A heart rate of 54/min is within the normal range for a 5-year-old child and does not specifically indicate hemorrhage. Flushing of the face is not a direct indicator of hemorrhage. A blood pressure of 95/56 mm Hg may be within the normal range for a 5-year-old child and does not specifically indicate hemorrhage. Continuous swallowing can indicate bleeding in the postoperative period following a tonsillectomy and adenoidectomy, as blood may be pooling in the throat and swallowed rather than expectorated.
Question 5 of 5
A nurse is prioritizing care for four clients. Which of the following clients should the nurse assess first?
Correct Answer: C
Rationale: While osteomyelitis is a serious condition requiring treatment, receiving an IV bolus of nafcillin is not an urgent procedure compared to a neurological symptom like slurred speech. Pain management is important, but a pain level of 7, while significant, does not indicate an immediate life-threatening situation. Slurred speech in an adolescent with sickle cell anemia could indicate a neurological complication or a stroke, which requires immediate assessment and intervention. Although the toddler with a partial-thickness burn needs care, it is not as urgent as assessing a potential neurological issue.