ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
A nurse is assessing a 4-month-old infant during a well-baby visit.
Question 1 of 5
For which of the following findings should the nurse notify the provider?
Correct Answer: A
Rationale: The correct answer is A: Doll's eye reflex intact. This finding is abnormal in adults and may indicate brainstem dysfunction. The nurse should notify the provider immediately for further evaluation and intervention.
Choice B is incorrect because no head lag when pulled to a sitting position is a normal finding in infants.
Choice C is incorrect because the presence of tears when crying is a normal physiological response.
Choice D is incorrect because a positive Babinski reflex is normal in infants but abnormal in adults.
Extract:
A nurse is caring for a group of toddlers receiving digoxin therapy.
Question 2 of 5
For which of the following toddlers should the nurse revise the plan of care?
Correct Answer: D
Rationale: The correct answer is D: A toddler who has vomited 2 times in the last hour. Vomiting in a toddler can lead to dehydration and electrolyte imbalances, which can be potentially life-threatening. The nurse should revise the plan of care to address the vomiting and ensure hydration.
Choice A: A toddler with a digoxin level of 1.2 ng/mL falls within the therapeutic range, so the plan of care does not need revision based on this alone.
Choice B: An apical pulse of 100/min may be within the normal range for a toddler, so it does not necessarily warrant a revision of the plan of care.
Choice C: A potassium level of 4.0 mEq/L is within the normal range, so the plan of care does not need revision based on this parameter.
In summary, the nurse should revise the plan of care for the toddler who has vomited multiple times in the last hour to prevent dehydration and electrolyte imbalances
Extract:
A nurse is providing discharge teaching to a parent of a child who has juvenile idiopathic arthritis and a new prescription for prednisone.
Question 3 of 5
Which of the following statements should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Monitor your child for indications of infection. This statement is important because certain medications may weaken the immune system, increasing the risk of infections. Monitoring for signs of infection allows for early detection and treatment.
Choice B is incorrect because limiting potassium-rich foods is not typically necessary with this medication.
Choice C is incorrect as this medication does not typically stimulate a growth spurt.
Choice D is incorrect because discontinuing the medication without consulting a healthcare provider can be harmful.
Extract:
A nurse is assessing a school-age child who is receiving morphine.
Question 4 of 5
For which of the following adverse effects should the nurse monitor?
Correct Answer: A
Rationale: The correct answer is A: Bradypnea. Bradypnea, or slow breathing, can indicate respiratory depression, a common adverse effect of many medications, especially opioids. Monitoring for this adverse effect is crucial to prevent serious complications like respiratory arrest. Prolonged wound healing (
B) is not typically a common adverse effect that requires immediate monitoring. Hypertension (
C) is a possible adverse effect, but it is not as urgent as respiratory depression. Stevens-Johnson syndrome (
D) is a severe skin reaction that is not typically monitored by nurses for immediate assessment of adverse effects.
Extract:
A nurse is applying soft limb restraints to a child who is acting aggressively toward staff.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action for the nurse to take is to secure the restraints with a quick-release knot (
Choice
C). This is important for the safety of the child as quick-release knots allow for easy and quick removal in case of an emergency. Tying the restraints to the side rails of the bed (
Choice
B) can pose a risk of entrapment and restrict movement. Requesting the provider to renew the prescription every 48 hours (
Choice
A) is not directly related to the immediate action of securing the restraints. Assessing the child every 4 hours (
Choice
D) is important but does not address the immediate action needed.