ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
A nurse on a pediatric unit is caring for four children.
Question 1 of 5
The nurse should use droplet precautions for which of the following children?
Correct Answer: C
Rationale: The correct answer is C: A toddler who has seasonal influenza. Droplet precautions are used for infections transmitted through respiratory droplets. Seasonal influenza is a highly contagious respiratory illness spread through droplets.
Choice A (viral conjunctivitis) does not require droplet precautions as it is transmitted through direct contact with eye secretions.
Choice B (pediculosis capitis) is spread through direct head-to-head contact, not respiratory droplets.
Choice D (hepatitis
A) is transmitted through the fecal-oral route, not respiratory droplets.
Therefore, the correct choice is C as it aligns with the mode of transmission for droplet precautions.
Extract:
A nurse is assessing a child who is 2 hours postoperative following a cardiac catheterization and finds the dressing is saturated with blood.
Question 2 of 5
Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: The correct answer is B: Apply pressure just above the insertion site. This action is crucial to prevent further bleeding or hematoma formation at the insertion site. Applying pressure helps control the bleeding and promotes hemostasis, which is a priority in this situation to ensure patient safety. Reinforcing the dressing (
A) can come after controlling the bleeding. Obtaining vital signs (
C) and monitoring the pulse distal to the insertion site (
D) are important assessments but should follow immediate interventions to control bleeding.
Extract:
A nurse is planning care for a child who has varicella.
Question 3 of 5
Which of the following interventions should the nurse plan to include?
Correct Answer: D
Rationale: The correct answer is D: Initiate airborne precautions. This is because the presence of Koplik spots in the oral cavity is a classic sign of measles, which is highly contagious through airborne droplets. Administering aspirin for fever is contraindicated in children with viral illnesses like measles due to the risk of Reye's syndrome. Providing a warm blanket is not directly related to managing measles. Initiation of airborne precautions is essential to prevent the spread of the measles virus to other individuals.
Extract:
A nurse is caring for a client who is postoperative following placement of a halo vest to manage a cervical vertebral fracture.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Reposition the client using a turning sheet. This action is essential to prevent pressure ulcers and maintain skin integrity in clients with a halo device. Repositioning helps redistribute pressure, improve circulation, and reduce the risk of skin breakdown. Encouraging neck flexion and extension (
A) can be harmful with a halo device. Assessing pin sites (
B) and tightening screws (
C) should be done by qualified healthcare providers to prevent complications.
Extract:
Question 5 of 5
A nurse is teaching about nutrition to the guardian of a 2-year-old toddler. Which of the following statements should the nurse include in the teaching?
Correct Answer: A
Rationale: A 2-year-old requires about 1,000 to 1,400 calories daily to support growth and development.