ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
Vital Signs at 0730: Tympanic temperature: 38.1°C (100.6°F), Heart rate: 95/min, Respiratory rate: 20/min; Vital Signs at 0800: Tympanic temperature: 38.2°C (101°F), Heart rate: 112/min, Respiratory rate: 24/min, Oxygen saturation: 96% on room air; Assessment Findings at 0800: Cough, Stridor, Irritability; Medical History: No known allergies, Up-to-date on vaccinations, History of frequent upper respiratory infections, No significant past medical history; Nurses Notes at 0900: The child appears increasingly irritable and is crying intermittently. The cough has become more frequent and is now accompanied by a hoarse voice. The child is refusing to eat or drink and appears fatigued. Parents report that the child had difficulty sleeping the previous night due to coughing. The child is observed to have nasal flaring and mild intercostal retractions. The child is sitting upright and leaning forward, appearing to be in mild respiratory distress. The skin is warm to touch, and the child is sweating; Physical Examination Results at 0900: Nasal flaring, Mild intercostal retractions, Hoarse voice, Sitting upright and leaning forward, Warm skin, Sweating; A nurse is caring for a 3-year-old child in the pediatric unit.
Question 1 of 5
Based on the exhibits provided, which of the following findings are consistent with the child's condition? Select all that apply.
Correct Answer: A,B,D
Rationale: The correct findings consistent with the child's condition are A (Hoarse voice), B (Nasal flaring), and D (Sitting upright and leaning forward). Hoarse voice suggests airway obstruction or irritation. Nasal flaring indicates respiratory distress. Sitting upright and leaning forward is a sign of respiratory distress, helping to open airways.
Choices C (Increased appetite) and E (Decreased respiratory rate) are inconsistent with respiratory distress.
Extract:
A nurse is caring for a client who is postoperative following placement of a halo vest to manage a cervical vertebral fracture.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Reposition the client using a turning sheet. This action is essential to prevent pressure ulcers and maintain skin integrity in clients with a halo device. Repositioning helps redistribute pressure, improve circulation, and reduce the risk of skin breakdown. Encouraging neck flexion and extension (
A) can be harmful with a halo device. Assessing pin sites (
B) and tightening screws (
C) should be done by qualified healthcare providers to prevent complications.
Extract:
Question 3 of 5
A nurse is preparing to assess a 4-year-old child's visual acuity. Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: The correct answer is D: Use a tumbling E chart for the assessment. This is the correct answer because the tumbling E chart is commonly used for assessing visual acuity in young children who may not know their letters. The nurse can instruct the child to point in the direction the "legs" of the E are facing. This method allows for an accurate assessment of the child's visual acuity.
Choice A is incorrect because it is important to test the child with glasses, if they wear them, to determine their visual acuity with correction.
Choice B is incorrect as the child should be positioned 3 to 6 meters (10 to 20 feet) away from the chart, not specifically 4.6 meters.
Choice C is incorrect as it is recommended to assess each eye separately first to identify any discrepancies in visual acuity between the eyes.
Question 4 of 5
A nurse is teaching the guardian of a newborn about how to prepare their 3-year-old child to meet their new sibling. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: The correct answer is C: Provide a doll for your 3-year-old child to imitate parental behaviors.
Rationale:
1. Providing a doll allows the child to practice parental behaviors, fostering a sense of involvement and responsibility.
2. Role-playing with a doll can help the child understand the concept of caregiving and prepare them for the arrival of the new sibling.
3. It promotes a positive and interactive way for the child to learn about caring for a baby and adjusting to the new family dynamic.
Other
Choices:
A: Incorrect. Telling the child they will have a new playmate may not adequately prepare them for the responsibilities and changes that come with a new sibling.
B: Incorrect. Preparing the child for changes in all routines may cause unnecessary anxiety and may not be specific to the sibling arrival.
D: Incorrect. Waiting for the newborn to arrive before transitioning the 3-year-old to a bed is unrelated to preparing the child for the new sibling.
Extract:
Which of the following best describes the purpose of obtaining consent?
Question 5 of 5
To ensure the patient understands the risks.
Correct Answer: A
Rationale: The correct answer is A because obtaining permission from the patient's family for treatment is crucial to ensure that the patient understands the risks involved. Involving the family helps in providing comprehensive information and support to the patient.
Choice B is incorrect because the primary focus should be on patient care rather than protecting the nurse legally.
Choice C is incorrect as proceeding with treatment without patient input goes against the principles of informed consent.