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 correct answer is A: Use a tumbling E chart for the assessment. This is the correct action because using a tumbling E chart is a common method to assess visual acuity in children. The chart consists of E shapes facing different directions, allowing the child to indicate the direction in which the E is pointing. This method is age-appropriate and engaging for children, making it easier to assess their visual acuity accurately.
Why the other choices are incorrect:
B: Testing the child without glasses before testing with glasses may not be necessary for all children and could lead to inaccurate results.
C: Positioning the child 4.6 meters (15 feet) from the chart is not a standard distance for visual acuity assessment in children.
D: Assessing both eyes together first, then each eye separately may not be the most effective approach for assessing visual acuity in children, as it may not provide accurate individual eye measurements.
Extract:
Question 2 of 5
A nurse is preparing a child for a lumbar puncture. In which of the following positions should the child be placed for the procedure?
Correct Answer: B
Rationale: The correct position for a child undergoing a lumbar puncture is lateral. Placing the child in a lateral position allows for easier access to the spine while keeping the spine flexed. This position helps to open up the spaces between the vertebrae, making it safer and more efficient for the procedure. The prone position (choice
A) would not provide adequate access, the supine position (choice
C) would not allow for proper flexion of the spine, and the semi-Fowler's position (choice
D) is not ideal for a lumbar puncture.
Therefore, the lateral position is the most appropriate choice for this procedure.
Question 3 of 5
A nurse is caring for an infant who has heart failure and vomited following administration of digoxin. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Administer the next dose as prescribed. Digoxin is a medication commonly used to treat heart failure in infants. Vomiting after administration does not necessarily mean the medication was not absorbed. It is important to follow the prescribed dosing schedule to maintain therapeutic levels in the bloodstream. Giving an antiemetic (option
A) may not be necessary if the vomiting was a one-time occurrence. Increasing fluid intake (option
B) may not be appropriate without further assessment. Mixing the medication with formula (option
C) may alter the absorption rate. Administering the next dose as prescribed ensures continuity of care and adherence to the treatment plan.
Question 4 of 5
A nurse is reviewing the medical record of a toddler who is scheduled for surgery. Which of the following information should the nurse recognize as a potential risk for a latex allergy?
Correct Answer: C
Rationale: The correct answer is C: History of spina bifida. Spina bifida is a congenital condition associated with multiple surgeries and medical interventions, increasing exposure to latex products and thus the risk of developing a latex allergy. Suspected autism spectrum disorder (choice
A) is not directly linked to latex allergy. Diagnosis of hypospadias (choice
B) and previous cleft palate repair (choice
D) do involve surgeries but are not as strongly associated with latex exposure as spina bifida.
Extract:
A nurse is caring for a child who has impetigo contagiosa that developed in the hospital.
Question 5 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.