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 teaching the parent of a school-age child about bicycle safety.
Question 2 of 5
Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Your child should walk the bicycle through intersections. This instruction is crucial for safety as walking the bicycle through intersections reduces the risk of accidents. By walking the bicycle, the child can better navigate the intersection and avoid collisions with vehicles or pedestrians.
Choice A is incorrect because the child's feet should be able to touch the ground easily for stability.
Choice B is incorrect as children should always ride their bicycles in the same direction as traffic flow to prevent accidents.
Choice D is incorrect because keeping the bicycle at least 3 feet from the curb is not necessary and may obstruct traffic flow.
Extract:
A nurse is assessing a 4-month-old infant during a well-baby visit.
Question 3 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:
Question 4 of 5
A nurse is reviewing the admission prescriptions for a 6-year-old child who has cystic fibrosis. For which of the following prescriptions should the nurse contact the child's provider?
Correct Answer: B
Rationale: The correct answer is B: Perform airway clearance therapy prior to bronchodilator medications. For a child with cystic fibrosis, airway clearance therapy helps to clear mucus from the lungs, improving breathing. Performing this therapy before using bronchodilator medications ensures that the airways are cleared for optimal delivery of the bronchodilator. Contacting the provider is important to confirm the correct sequence of treatments and to avoid any potential adverse effects or interactions.
Incorrect choices:
A: Administering water-miscible vitamins A, D, E, and K is a standard treatment for cystic fibrosis and does not require immediate provider contact.
C: Encouraging intake of a high-calorie, high-protein diet is also a common recommendation for children with cystic fibrosis to support growth and weight gain.
D: Using the airway clearance therapy device every 2 hours while awake is a frequent regimen for managing cystic fibrosis and does not warrant
Question 5 of 5
A nurse is caring for an infant who has heart failure and vomited following administration of digoxin. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Administer the next dose as prescribed. Digoxin is a medication commonly used to treat heart failure in infants. Vomiting after administration does not necessarily mean the medication was not absorbed. It is important to follow the prescribed dosing schedule to maintain therapeutic levels in the bloodstream. Giving an antiemetic (option
A) may not be necessary if the vomiting was a one-time occurrence. Increasing fluid intake (option
B) may not be appropriate without further assessment. Mixing the medication with formula (option
C) may alter the absorption rate. Administering the next dose as prescribed ensures continuity of care and adherence to the treatment plan.