ATI RN
ATI Nurs 243 Pediatrics Exam Questions
Extract:
An infant with a myelomeningocele.
Question 1 of 5
The nurse understands that in the preoperative period the infant with a myelomeningocele must be placed in which of the following positions?
Correct Answer: D
Rationale: Prone with hips flexed and legs abducted is the best position to avoid pressure on the myelomeningocele sac, prevent trauma, and reduce the risk of infection before surgical repair.
Extract:
A child suspected to have suffered child abuse.
Question 2 of 5
The nurse is assessing a child who is suspected to have suffered child abuse. Which of the following statements demonstrate therapeutic communication when interacting with the child?
Correct Answer: D
Rationale: Reassuring the child that they are not to blame is supportive and helps to build trust, encouraging the child to feel safe in sharing information.
Extract:
A school aged child with ADHD, prescribed dexamethylphenidate 10mg before breakfast and lunch.
Question 3 of 5
The nurse is assessing a school aged child with ADHD. The child is prescribed dexamethylphenidate 10mg before breakfast and lunch. Which of the following findings is of MOST concern to the nurse?
Correct Answer: C
Rationale: A blood pressure reading of 140/90 is concerning as it indicates hypertension, which can be a side effect of stimulant medications like dexamethylphenidate.
Extract:
Patients with 24-hour Holter monitor diaries.
Question 4 of 5
The nurse is reviewing 24-hour Holter monitor diaries of various patients. Which of the following entries is the MOST complete?
Correct Answer: B
Rationale: This entry is the most complete as it includes the time, activity (basketball practice), symptom (dizziness), absence of loss of consciousness, and relevant detail (no caffeine intake), giving a comprehensive picture of the patient's experience.
Extract:
A toddler with multiple bruises and burns in various stages of healing, suspected of being abused.
Question 5 of 5
An emergency room nurse is assessing a toddler with multiple bruises and burns in various stages of healing. The nurse suspects that the toddler has been abused, however the physician disagrees. What is the nurse's priority at this time?
Correct Answer: B
Rationale: The nurse has a legal and ethical obligation to report suspicions of child abuse to the proper authorities, regardless of the physician's opinion. Reporting ensures that the child’s safety is prioritized and that an investigation can be conducted.