ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
A nurse is preparing to assess a 4-year-old child's visual acuity.
Question 1 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: The tumbling E chart suits children unable to read letters. Test with glasses if worn. Use 3 meters (10 feet), not 15. Test each eye separately first, then together for accuracy.
Extract:
A nurse is caring for a 5-year-old child following a tonsillectomy and adenoidectomy.
Question 2 of 5
Which of the following findings should the nurse identify as an indication of hemorrhage?
Correct Answer: A
Rationale: Continuous swallowing suggests blood in the throat, indicating possible hemorrhage post-tonsillectomy, requiring urgent attention. Normal blood pressure, low heart rate, or flushing are not specific to bleeding.
Extract:
A nurse is providing education to a client.
Question 3 of 5
Which of the following nonverbal techniques should the nurse use to enhance the importance of the education?
Correct Answer: C
Rationale: Visible phone use signals distraction. Crossed arms and no eye contact seem defensive. Smiling, nodding, and touching convey warmth and attentiveness, enhancing education. Leaning casually may appear unengaged.
Extract:
Nurse's Notes (0700 hrs): The client reports a sudden onset of severe abdominal pain that started 4 hours ago. He describes the pain as sharp and constant, located in the upper right quadrant of the abdomen. The client has vomited twice in the past hour, with the vomitus being greenish in color. He denies any recent trauma or injury. The client appears anxious and is clutching his abdomen. He has a history of hypertension and is currently on medication for it. The client denies any known allergies; Physical Examination Results (0700 hrs): The client is alert and oriented but appears to be in significant distress. His skin is pale and diaphoretic. The abdomen is distended and tender to palpation, especially in the upper right quadrant. There is guarding and rebound tenderness noted. Bowel sounds are hypoactive. The client exhibits mild jaundice, with yellowing of the sclera. There are no visible signs of trauma or bruising on the abdomen; Vital Signs (0700 hrs): Temperature: 38.3°C (100.9°F), Pulse: 110 beats per minute, Respiratory Rate: 24 breaths per minute, Blood Pressure: 150/90 mm Hg, Oxygen Saturation: 95% on room air; A nurse is caring for a 45-year-old male client in the emergency department who presented with severe abdominal pain and vomiting.
Question 4 of 5
Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Pain relief is secondary to provider notification given signs of peritonitis. Ultrasound preparation follows provider orders. Nasogastric tube insertion needs authorization. Notifying the provider ensures urgent evaluation for a potentially life-threatening condition.
Extract:
A nurse is planning care for a child who is in the acute stage of nephrotic syndrome.
Question 5 of 5
Which of the following interventions should the nurse include in the plan of care?
Correct Answer: A
Rationale: Daily weighing monitors fluid retention in nephrotic syndrome, critical for assessing edema. Increased fluid intake worsens edema. Supine positioning may increase fluid pooling. Calorie restriction is unnecessary; balanced nutrition supports recovery.