ATI RN
ATI Nsg 234 Pediatrics Exam Questions
Extract:
A pediatric nurse is assessing a child with otitis media that has frequent ear problems.
Question 1 of 5
The nurse recognizes that which of the following risk factors are associated with otitis media?
Correct Answer: B
Rationale: The correct answer is B: Frequent viral infections. Otitis media is commonly caused by bacterial or viral infections. Frequent viral infections can lead to inflammation and fluid buildup in the middle ear, increasing the risk of developing otitis media.
Choice A is incorrect because using cotton tipped swabs can actually push earwax deeper into the ear canal, leading to blockages and increasing the risk of otitis media.
Choice C is incorrect as playing in the pool does not directly increase the risk of otitis media.
Choice D is incorrect as cleaning the ears with vinegar is not a common risk factor for otitis media.
Extract:
A nurse is providing discharge teaching about nutrition to the parents of a 9-year-old child with cystic fibrosis (CF).
Question 2 of 5
The nurse should recognize that which statement made by the mother indicates understanding about nutrition?
Correct Answer: A
Rationale: The correct answer is A because giving pancreatic enzymes with snacks and meals indicates the mother understands the importance of managing her child's pancreatic insufficiency. This is crucial for proper digestion and absorption of nutrients.
Choice B is incorrect because salt restriction is not directly related to nutrition understanding.
Choice C is incorrect as limiting fluid intake is not a standard nutrition practice for children.
Choice D is incorrect because limiting protein is not advisable for children with pancreatic insufficiency, as they may have difficulty absorbing fats and fat-soluble vitamins.
Extract:
A nurse is admitting a toddler who has respiratory syncytial virus (RSV).
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Place the toddler on contact precautions. This is because contact precautions are used to prevent the spread of infections that can be transmitted by direct or indirect contact. Placing the toddler on contact precautions involves using gloves and gowns when in close contact with the child to prevent the transmission of infectious agents.
A, B, and C are incorrect choices because they are not appropriate for preventing the spread of infections through contact. Placing the toddler on airborne precautions (choice
A) would be used for diseases transmitted through the air, such as tuberculosis. Placing the toddler in a semiprivate room (choice
B) does not address the need for specific precautions. Placing the toddler in a negative pressure room (choice
C) is used for airborne infections to prevent the spread of pathogens outside the room.
Extract:
A charge nurse on a pediatric unit is observing a newly licensed nurse provide care for a child diagnosed with acute epiglottis.
Question 4 of 5
Which of the following actions by the newly licensed nurse indicates that the charge nurse should intervene?
Correct Answer: C
Rationale: The correct answer is C because assessing a child's throat using a tongue blade is beyond the scope of practice for a newly licensed nurse. This action requires specialized training and should be performed by an experienced healthcare provider. Assessing vital signs (
A) and reporting abnormal test results (
D) are within the nurse's scope. Gathering supplies for possible intubation (
B) may be necessary in emergency situations.
Extract:
A nurse is caring for a new mother who is concerned that her newborn has strabismus.
Question 5 of 5
Which of the following statements is a therapeutic response by the nurse?
Correct Answer: C
Rationale: The correct answer is C because it provides an informative response that explains the phenomenon of strabismus in newborns without causing distress.
Choice A minimizes the concern but oversimplifies treatment.
Choice B removes the baby without explanation.
Choice D does not directly address the issue.
Choices E, F, and G are blank, therefore irrelevant.