ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
A nurse is teaching a child who has asthma about using a metered-dose inhaler with a mouthpiece.
Question 1 of 5
Identify the sequence of steps the nurse should instruct the child to take.
Correct Answer: A,C,B,D
Rationale: Correct sequence: Depress canister while inhaling (
A), hold breath for 10 seconds (
C), remove inhaler (
B), exhale slowly (
D). This ensures medication delivery and absorption.
Extract:
A nurse is planning care for a preschooler who has autism spectrum disorder.
Question 2 of 5
Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: Holding may distress the child. A reward system reinforces positive behavior effectively. Extended eye contact can be uncomfortable, and cooperative play may be too complex; structured activities are better.
Extract:
A nurse is reviewing the laboratory results of a preschool-age child who has iron deficiency anemia.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Ferrous sulfate treats iron deficiency anemia. Factor VII is for bleeding disorders. Soft toothbrushes are for low platelets, not anemia. Protective precautions aren't needed.
Extract:
Nurse's Notes (0700 hrs): The client reports a sudden onset of severe abdominal pain that started 4 hours ago. He describes the pain as sharp and constant, located in the upper right quadrant of the abdomen. The client has vomited twice in the past hour, with the vomitus being greenish in color. He denies any recent trauma or injury. The client appears anxious and is clutching his abdomen. He has a history of hypertension and is currently on medication for it. The client denies any known allergies; Physical Examination Results (0700 hrs): The client is alert and oriented but appears to be in significant distress. His skin is pale and diaphoretic. The abdomen is distended and tender to palpation, especially in the upper right quadrant. There is guarding and rebound tenderness noted. Bowel sounds are hypoactive. The client exhibits mild jaundice, with yellowing of the sclera. There are no visible signs of trauma or bruising on the abdomen; Vital Signs (0700 hrs): Temperature: 38.3°C (100.9°F), Pulse: 110 beats per minute, Respiratory Rate: 24 breaths per minute, Blood Pressure: 150/90 mm Hg, Oxygen Saturation: 95% on room air; A nurse is caring for a 45-year-old male client in the emergency department who presented with severe abdominal pain and vomiting.
Question 4 of 5
Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Pain relief is secondary to provider notification given signs of peritonitis. Ultrasound preparation follows provider orders. Nasogastric tube insertion needs authorization. Notifying the provider ensures urgent evaluation for a potentially life-threatening condition.
Extract:
A nurse is caring for a newly admitted child.
Question 5 of 5
Which members of the interprofessional team should the nurse initiate a referral to?
Correct Answer: A
Rationale: A dietitian assesses nutritional needs, critical for a new admission. Occupational, physical, or speech therapists may be needed later, but nutrition is the initial priority.