ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
A nurse is planning postoperative care for an adolescent following scoliosis repair with spinal instrumentation.
Question 1 of 5
Which of the following actions should the nurse include in the plan of care?
Correct Answer: B
Rationale: The correct answer is B: Ensure two nurses logroll the adolescent every 2 hours. This is essential post-surgery to prevent complications such as pressure ulcers and maintain proper body alignment. It ensures even distribution of pressure and reduces the risk of musculoskeletal injuries. Option A is incorrect as early ambulation may not be safe 12 hours post-surgery. Option C is not as crucial as logrolling for preventing complications. Option D is incorrect as oral intake should be cautiously initiated.
Extract:
A nurse is caring for a child who has impetigo contagiosa that developed in the hospital.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Initiate contact isolation precautions. This is the appropriate action as it helps prevent the spread of infectious diseases, ensuring the safety of both patients and healthcare workers. Contact isolation is indicated for diseases that spread through direct contact, such as MRSA or C. difficile. Administering amphotericin B IV (choice
A) is not the immediate action needed without knowing the specific condition of the patient. Applying lidocaine ointment topically (choice
C) is not relevant to preventing the spread of infectious diseases. Reporting the disease to the state health department (choice
D) is important but not the initial action to take for immediate patient care.
Extract:
Question 3 of 5
A nurse is assessing a school-age child who has heart failure and is taking furosemide. Which of the following findings should the nurse identify as an indication that the medication is effective?
Correct Answer: C
Rationale: The correct answer is C: A decrease in peripheral edema. Furosemide is a loop diuretic that helps the body excrete excess fluid and sodium, reducing fluid retention and edema.
Therefore, a decrease in peripheral edema would indicate that the medication is effectively reducing fluid overload in the child with heart failure.
Incorrect answers:
A: An increase in potassium levels - Furosemide can cause potassium loss, leading to hypokalemia, so an increase in potassium levels would not indicate effectiveness.
B: A decrease in cardiac output - Furosemide's primary action is to reduce fluid volume, which can help improve cardiac output, so a decrease in cardiac output would not be an indication of effectiveness.
D: An increase in venous pressure - Furosemide's diuretic effect would reduce blood volume and venous pressure, so an increase in venous pressure would not be a sign of effectiveness.
Question 4 of 5
A nurse is teaching the parent of a school-age child about bicycle safety. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale:
Correct Answer: B
Rationale: Walking the bicycle through intersections is a crucial safety measure to prevent accidents. This instruction ensures that the child is visible to drivers and reduces the risk of collisions. Additionally, walking the bicycle allows the child to have better control and stability while navigating intersections.
Incorrect
Choices:
A: Incorrect because the child's feet should be able to touch the ground comfortably while seated on the bicycle for stability and safety.
C: Incorrect because riding the bicycle against the flow of traffic increases the risk of accidents as drivers may not anticipate the child's movements.
D: Incorrect because keeping the bicycle at least 3 feet from the curb is a guideline for riding on the street, not for general bicycle safety.
E, F, G: No other options provided.
Question 5 of 5
A nurse is providing teaching to the guardian of an 11-month-old infant who has acute diarrhea. Which of the following food items should the nurse instruct the parent to provide to the infant?
Correct Answer: A
Rationale: The correct answer is A: Oral electrolyte solution. This is recommended for infants with acute diarrhea to prevent dehydration and restore electrolyte balance. It is easily absorbed and helps replace lost fluids and electrolytes. Applesauce (
B) and white grape juice (
D) can worsen diarrhea due to their high sugar content. Chicken soup (
C) may be too heavy for an infant's digestive system. Other choices are not relevant for managing diarrhea in infants.