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 reviewing the laboratory results of a child who was recently admitted for suspected rheumatic fever.
Question 2 of 5
Which of the following laboratory tests can contribute to confirming this diagnosis? Select all that apply.
Correct Answer: A,D,E
Rationale: The correct laboratory tests to confirm the diagnosis are ASO titer, ESR, and CRP. ASO titer is used to detect antibodies against streptolysin O produced by Streptococcus bacteria, which helps diagnose streptococcal infections. ESR measures inflammation levels in the body, which can be elevated in various conditions including infections. CRP is a marker of inflammation and infection, so an elevated level can support the diagnosis. PTT is primarily used to evaluate blood clotting disorders, not specific for confirming this diagnosis. BUN is a measure of kidney function and not directly related to this diagnosis.
Extract:
A nurse is assessing a preschool-age child who is in the immediate postoperative period following a tonsillectomy.
Question 3 of 5
Which of the following assessment findings is the priority?
Correct Answer: B
Rationale: The correct answer is B because frequent swallowing could indicate airway obstruction, requiring immediate attention to prevent respiratory distress. Throat pain (
A) can be managed with pain relief. Refusing clear liquids (
C) can be addressed once airway is secured. Crying often (
D) may be due to discomfort but doesn't indicate immediate danger.
Extract:
A nurse is providing teaching to the parent of a 10-month-old infant who is having difficulty eating. The parent is feeding their infant goat milk.
Question 4 of 5
Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Offer commercially prepared formula. This is the most appropriate choice as it ensures the infant receives proper nutrition and avoids potential risks associated with other options.
Choice B (Switch to soy milk) is not recommended for infants due to potential allergies.
Choice C (Reinitiate breastfeeding) may not be feasible or safe for all mothers.
Choice D (Warm goat's milk before feeding) is not recommended as goat's milk lacks essential nutrients for infants. Overall, option A is the safest and most suitable choice for infant nutrition.
Extract:
A nurse is providing instructions about a 24-hour urine collection to an adolescent client.
Question 5 of 5
Which of the following should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Discard the first voided specimen. This is important in order to obtain an accurate urine specimen for testing. By discarding the first voided specimen, the nurse can ensure that the sample is not contaminated by bacteria or other substances that may have collected in the urethra. Voiding every hour (
B) is unnecessary and may lead to overcollection. Saving the final specimen in a separate container (
C) is not necessary and may not provide any additional benefit. Cleansing the perineum with povidone-iodine solution prior to voiding (
D) is not standard practice and may introduce contaminants into the sample.