ATI RN
ATI RN Pediatrics Nursing 2023 New Questions
Extract:
A nurse is caring for a 6-month-old Infant with a diagnosis of Tetralogy of Fallot (TOF) who is experiencing a hypercyanotic spell. The Infant is lethargic and has a weak cry.
Question 1 of 5
What is the priority nursing action for this Infant?
Correct Answer: D
Rationale: In a hypercyanotic spell, the priority is to increase systemic vascular resistance to decrease the right-to-left shunting of blood. The knee-to-chest position is effective for this.
Extract:
The nurse is caring for a newborn with a Ventricular-Septal Defect (VSD).
Question 2 of 5
The nurse should recognize that the signs and symptoms of this defect are? (Select All That Apply.)
Correct Answer: B,D,E
Rationale: Frequent lung infections are common due to pulmonary congestion. Dyspnea occurs due to increased blood flow to the lungs. A heart murmur is a hallmark of VSD.
Extract:
A nurse is caring for an infant post operative closure of a myelomeningocele.
Question 3 of 5
Which intervention is essential for providing basic care and comfort following myelomeningocele sac closure?
Correct Answer: C
Rationale: Frequent diaper changes and keeping the incision site clean and dry is essential to prevent infection and protect the surgical site.
Extract:
Guardians brought the infant to the emergency department after witnessing the infant's arms and legs shaking. The infant did not respond to the guardians' voices or touch during that time. The episode lasted approximately 5 min and the infant was sleeping soundly after. On the way to the emergency department, the infant had another episode of shaking of the extremities and drooling. The infant was asleep when they arrived for evaluation. Infant has no prior medical or surgical history, born full term at 40 weeks to a birthing parent who had regular prenatal care.
Question 4 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
Correct Answer: B
Rationale: The infant's presentation of shaking, lack of response, and brief episodes is consistent with absence seizures. Actions include initiating seizure precautions and keeping the infant NPO until fully awake. Monitor level of consciousness and motor ability.
Extract:
A school nurse is providing teaching to an adolescent client about the management of acne.
Question 5 of 5
Which of the following should the nurse include in the Instructions?
Correct Answer: C
Rationale: Cleaning the face gently with a mild soap is appropriate for managing acne and preventing irritation.