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.
Order the Items
Source Container
Correct Answer: A,C,B,D
Rationale: The correct order is A, C, B, D. First, the child should depress the canister while inhaling slowly (
A) to ensure proper medication delivery. Holding the breath for 10 seconds (
C) allows for optimal absorption. Removing the inhaler from the mouth (
B) prevents further inhalation. Finally, exhaling slowly through the nose (
D) helps in maintaining the medication in the respiratory tract. Other choices are incorrect as they do not follow the logical sequence required for effective inhaler use.
Extract:
A nurse is caring for a school-age child who weighs 20 kg (44 lb) and is postoperative with chest tubes in place.
Question 2 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Chest tube drainage of 200 mL in 1 hr. This finding indicates excessive drainage which could be a sign of hemorrhage or other complications. The nurse should report this to the provider immediately for further assessment and intervention to prevent further complications.
A: Serous chest tube drainage is a normal finding and does not require immediate reporting.
C: Fluctuation in the water-sealed chamber is a normal finding indicating proper functioning of the chest drainage system.
D: Respiratory rate of 22/min is within normal range and does not require immediate provider notification.
Overall, choice B is the correct answer as it signifies a potentially serious issue that needs prompt attention.
Extract:
A nurse is preparing to collect a capillary blood specimen from the heel of a 4-month-old infant.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B because puncturing the outer aspect of the heel is the appropriate technique for obtaining a blood sample in a heel stick procedure. This area has a rich blood supply, making it ideal for sampling.
Choice A is incorrect because applying a cool pack can cause vasoconstriction, making it harder to obtain a sample.
Choice C is incorrect as using a surgical blade is not recommended due to the risk of injury and contamination.
Choice D is incorrect because wiping the site with alcohol after the puncture can introduce contaminants. Overall, puncturing the outer aspect of the heel is the safest and most effective method for obtaining a blood sample in this scenario.
Extract:
A nurse is planning care for an infant who has a prescription for a Pavlik harness.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale:
Rationale: Option C is correct because massaging the skin under the straps daily helps improve circulation and prevent pressure sores. Lengthening the straps weekly (Option
A) is not necessary unless the harness is too tight. Positioning the diaper over the straps (Option
B) can cause friction and skin irritation. Applying lotion (Option
D) can create a moist environment and increase the risk of skin breakdown.
Extract:
A nurse is caring for a group of clients on a pediatric unit.
Question 5 of 5
Which of the following clients is most at risk for insufficient vascular perfusion?
Correct Answer: D
Rationale: The correct answer is D: A school-age child who is in a spica cast. This child is at the most risk for insufficient vascular perfusion due to the constriction of blood vessels caused by the cast. The spica cast can impede blood flow, leading to decreased circulation and potential complications like compartment syndrome. The other choices do not directly impact vascular perfusion as significantly as a spica cast, making them less likely to result in insufficient perfusion. The urinary tract infection in choice A may lead to sepsis but not directly affect vascular perfusion. The intravenous fluids in choice B aim to maintain hydration and do not inherently pose a risk to vascular perfusion. Otitis media in choice C typically does not lead to compromised blood flow.