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: Persistent Doll's eye reflex beyond 2-3 months suggests neurological issues, requiring notification. No head lag, tear production, and Babinski reflex are normal for a 4-month-old.
Extract:
A nurse is assessing a child who has measles.
Question 2 of 5
Which of the following areas should the nurse inspect for Koplik spots?
Correct Answer: A
Rationale: Koplik spots, bluish-white with a red halo, appear inside the cheeks in measles, not on the tongue, gums, or lips.
Extract:
A nurse is planning care for a child who has a prescription to transfuse 2 units of packed RBCs.
Question 3 of 5
Which of the following interventions should the nurse include in the plan of care?
Correct Answer: B
Rationale: Blood shouldn't stay at room temperature over 30 minutes. Infuse within 4 hours to avoid contamination. Use filtered tubing to prevent clots. Dextrose can cause hemolysis; use saline.
Extract:
A nurse is applying soft limb restraints to a child who is acting aggressively toward staff.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Restraint prescriptions need renewal every 24 hours. Tying to side rails risks injury; use the bed frame. Quick-release knots ensure safety. Assessments should occur every 2 hours, not 4, for safety.
Extract:
A nurse is caring for a 5-year-old child following a tonsillectomy and adenoidectomy.
Question 5 of 5
Which of the following findings should the nurse identify as an indication of hemorrhage?
Correct Answer: A
Rationale: Continuous swallowing suggests blood in the throat, indicating possible hemorrhage post-tonsillectomy, requiring urgent attention. Normal blood pressure, low heart rate, or flushing are not specific to bleeding.