ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
A nurse is preparing a child for a lumbar puncture.
Question 1 of 5
In which of the following positions should the child be placed for the procedure?
Correct Answer: B
Rationale: The correct answer is B: Lateral. Placing the child in a lateral position is ideal for the procedure as it allows for easy access to the targeted area while providing stability and comfort. Lateral positioning also minimizes the risk of injury and maximizes the effectiveness of the procedure.
A: Semi-Fowler's position is not suitable as it may not provide adequate access or stability.
C: Supine position is not ideal for certain procedures that require a lateral approach.
D: Prone position is not appropriate as it does not allow for proper access or visibility of the target area.
Extract:
A nurse is assessing a 7-year-old child who has diabetes mellitus.
Question 2 of 5
Which of the following findings should the nurse identify as a manifestation of hypoglycemia?
Correct Answer: D
Rationale: The correct answer is D: Shakiness. Hypoglycemia is characterized by low blood sugar levels, leading to symptoms like shakiness, sweating, confusion, and dizziness. Shakiness occurs as a result of the brain not receiving enough glucose for energy production. Increased capillary refill (
A) is not typically associated with hypoglycemia. Decreased appetite (
B) and thirst (
C) are more commonly seen in conditions like hyperglycemia.
Therefore, the correct manifestation of hypoglycemia is shakiness due to inadequate glucose supply to the brain.
Extract:
Question 3 of 5
A nurse is caring for a child who has sickle cell anemia. Which of the following findings is the priority for the nurse to report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Facial twitching. This finding is concerning as it may indicate a neurological complication, such as a stroke, which can be life-threatening in sickle cell anemia. The nurse should report this immediately for further evaluation and intervention. Kyphosis (
B), constipation (
C), and enuresis (
D) are common issues in sickle cell anemia but are not immediate priorities compared to potential neurological complications.
Question 4 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.
Question 5 of 5
A nurse is planning postoperative care for an adolescent following scoliosis repair with spinal instrumentation. Which of the following actions should the nurse include in the plan of care?
Correct Answer: C
Rationale: The correct answer is C: Ensure two nurses logroll the adolescent every 2 hr. This action is crucial to prevent complications and maintain proper spinal alignment post-surgery. Logrolling involves turning the patient as a unit to prevent twisting or bending of the spine. It helps to avoid putting pressure on the surgical site and reduces the risk of injury. Maintaining the head of the bed at a 30° angle (
A) may be necessary for respiratory comfort but does not address the specific postoperative spinal care needed. Assisting the adolescent to ambulate 12 hr following surgery (
B) may be too soon and could risk injury. Offering sips of water 4 hr following surgery (
D) can be appropriate, but ensuring proper positioning and spinal care is more critical in the immediate postoperative period.