ATI RN
ATI Pediatrics Exam 5 Questions
Extract:
17-year-old who discloses he is gay
Question 1 of 5
During a health check-up without his parents, a 17-year-old tells the nurse he is gay. Which approach should the nurse take?
Correct Answer: D
Rationale: The correct approach is D because it demonstrates respect for the adolescent's self-identification and allows open communication. By asking the teenager what makes him think he is gay, the nurse shows acceptance and encourages the patient to share his feelings. This approach promotes trust, understanding, and provides an opportunity for the nurse to offer support and resources if needed.
Choice A is incorrect as it stigmatizes being gay.
Choice B is premature without understanding the patient's specific situation.
Choice C is dismissive and invalidates the patient's feelings.
Extract:
9-year-old boy influenced by peers
Question 2 of 5
During a well-child check-up, the parents of a 9-year-old boy tell the nurse that their son's friends told him that soccer is a stupid game, and now he wants to play baseball. Which comment by the nurse best explains the effects of peer groups?
Correct Answer: B
Rationale: The correct answer is B: Acceptance by friends, especially of the same sex, is very important at this age. At 9 years old, peer acceptance becomes crucial for social development. Children seek approval and validation from their peers, especially those of the same gender. This validation influences their choices and behaviors, such as changing interests or hobbies to align with what is socially accepted within their peer group. This is why the boy wants to switch from soccer to baseball to fit in with his friends.
A: Your child will rarely talk to you about his friends - This is incorrect as the focus is on the influence of peer groups, not communication with parents.
C: The children will cheer for each other regardless of the sport being played - This is too general and does not address the specific scenario.
D: The child's best friends will continue playing soccer - This is incorrect as the scenario suggests that the child's friends influenced him to switch sports.
Overall, choice B best explains the effects of peer
Extract:
5-year-old girl, previously 40 inches at age 4
Question 3 of 5
The nurse is conducting a well-child examination of a 5-year-old girl, who was 40 inches tall at her last examination at age 4. Which height measurement would be within the normal range of growth expected for a preschooler?
Correct Answer: D
Rationale: The correct answer is D: 43 inches. This falls within the expected growth range for a 5-year-old girl based on the average growth rate of about 2.5 inches per year. At age 4, she was 40 inches tall, so adding 2.5 inches would make her around 42.5 inches tall at age 5.
Therefore, 43 inches is a reasonable and expected height measurement for her age.
Choice A (45 inches) and B (47 inches) are too high for a one-year growth period, while choice C (41 inches) is too low based on the average growth rate.
Extract:
Preschool-age child who is a picky eater
Question 4 of 5
A nurse in a pediatric clinic is talking with the mother of a preschool-age child. The mother tells the nurse that her son is a 'picky eater.' Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale:
Correct
Answer: A
Rationale: A picky eater is likely to have decreased food intake due to selective eating habits. By expecting that food consumption might not decrease significantly, the nurse acknowledges the child's preferences without causing undue concern to the mother. This approach promotes a positive feeding environment and reduces mealtime stress.
Summary of Incorrect
Choices:
B: Adding fruit juice does not address the root cause of picky eating and may not necessarily improve the child's overall diet.
C: Forcing the child to remain at the table after meals can create negative associations with food and lead to further resistance.
D: Emphasizing quantity over quality may encourage overeating and does not address the importance of balanced nutrition for optimal growth and development.
Extract:
Client scheduled for MRI scan
Question 5 of 5
A nurse is caring for a client who is scheduled to have a magnetic resonance imaging (MRI) scan. The client asks the nurse what to expect during the procedure. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: The correct answer is option D: An MRI scan is very noisy, and you will be allowed to wear earplugs while in the scanner. This is the correct statement because MRI machines produce loud knocking or thumping noises during the scan, so wearing earplugs helps reduce the noise level and makes the experience more comfortable for the client.
Explanation:
1. MRI machines use strong magnetic fields and radio waves to generate images, which creates loud noises.
2. Allowing the client to wear earplugs helps protect their hearing and reduces anxiety associated with the loud sounds.
3. It is essential for the nurse to inform the client about the noise level and the option to use earplugs to ensure their comfort and cooperation during the procedure.
Summary of other choices:
A: Incorrect - MRI scan duration can vary depending on the type and area being scanned, typically lasting 30-60 minutes or longer.
B: Incorrect - Movement during an MRI scan can distort the images, so clients need to