ATI RN
ATI Pediatrics Exam II Questions
Extract:
A child's parent during hospital admission
Question 1 of 5
The parent asks why that should be important. The nurse would respond that in the 'family-centered care' paradigm, the:
Correct Answer: D
Rationale: The correct answer is D: Family serves as the constant influence and continuing support in the child's life. In family-centered care, the focus is on the family as a whole, recognizing their importance in the child's well-being. The family provides ongoing support, stability, and influences the child's development. This approach values the family's input and involvement in decision-making regarding the child's care.
A: Incorrect. Father being the leader in each home is a stereotype and not necessarily true in all families.
B: Incorrect. While the physician is important, family-centered care involves the whole family, not just the physician.
C: Incorrect. This choice overlooks the roles of other family members and does not encompass the holistic view of family-centered care.
Extract:
New parents of an infant
Question 2 of 5
Which of the following should indicate to the nurse a need for further teaching?
Correct Answer: C
Rationale: The correct answer is C. Placing the car seat in the front seat when the baby is sick is dangerous due to the airbag deployment risk.
Step-by-step rationale: 1. Safety first: Front seat airbags can harm infants. 2. Teaching point: Educate on car seat safety guidelines. 3. Importance of back seat: Safer for children under 12. Summary: A: Correct, considering weight and height. B: Correct, optimal placement. D: Incorrect, distracting driving. E, F, G: Not provided.
Extract:
A 1-year-old child
Question 3 of 5
Which of the following vaccines should the nurse give? (Select all that apply).
Correct Answer: B,D,E
Rationale: The nurse should give the Varicella (VAR) vaccine to protect against chickenpox, Measles, mumps, rubella (MMR) vaccine to prevent these highly contagious diseases, and Diphtheria, tetanus, and acellular pertussis (DTaP) vaccine to prevent diphtheria, tetanus, and whooping cough. VAR protects against chickenpox, MMR protects against measles, mumps, and rubella, and DTaP protects against diphtheria, tetanus, and pertussis. HPV4, Rotavirus (RV), and other vaccines are not indicated based on the information given.
Extract:
A 4-year-old child who is hospitalized with a respiratory illness and wet the bed overnight
Question 4 of 5
When the parents visit the next day, the nurse explains the situation and one of the parents says, 'She never wets the bed at home. I am so embarrassed.' Which of the following responses should the nurse make?
Correct Answer: C
Rationale: The correct response is C: Is expected for children who are hospitalized to regress. The toileting skills will return when your child is feeling better.
Rationale:
1. Acknowledges the parent's concern: By mentioning that it is expected for children in the hospital to regress in toileting skills, the nurse validates the parent's worry.
2. Provides reassurance: The response indicates that this is a common occurrence in a hospital setting and that the child's toileting skills will improve once they feel better.
3. Offers explanation: By explaining the situation, the nurse helps the parent understand the reason behind the bedwetting and alleviates any embarrassment.
Summary:
A: This response does not address the parent's concern and may come off as dismissive.
B: This response minimizes the situation and does not provide any helpful information to the parent.
D: While empathetic, this response does not provide reassurance or explanation to the parent.
Extract:
A 4-year-old child who needs to be on isolation precautions
Question 5 of 5
Which of the following statements is most appropriate for the nurse to say?
Correct Answer: D
Rationale: The correct answer is D because it provides a clear and respectful explanation to the patient about the need to stay in the room without causing unnecessary fear. It emphasizes the importance of preventing the spread of illness to others, which is a key aspect of patient education.
Choice A uses negative language that can induce fear and anxiety in the patient.
Choice B focuses on authority rather than patient understanding.
Choice C uses stigmatizing language that may make the patient feel guilty. In summary, choice D is the most appropriate as it conveys the necessary information in a clear and empathetic manner.