ATI RN
ATI RN Pediatrics Nursing 2023 I Questions
Extract:
A nurse is preparing to obtain a urine specimen from a 5-month-old infant using a urine collection bag.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A because attaching the bag first to the perineum ensures secure positioning without leakage. Attaching it to the skin above the urethra allows for proper drainage.
Choice B is incorrect as the bag should not be removed after voiding.
Choice C is incorrect as absorbent cotton balls can interfere with urine collection.
Choice D is incorrect as petroleum jelly can contaminate the specimen.
Extract:
A nurse is assessing a school-age child prior to administering digoxin.
Question 2 of 5
For which of the following findings should the nurse withhold the medication?
Correct Answer: C
Rationale: The correct answer is C: Heart rate 64/min. A heart rate of 64/min is below the normal range (60-100/min) for adults, indicating bradycardia, which can be a sign of decreased cardiac output. The nurse should withhold medication that can further lower the heart rate and worsen the condition.
A: Urine output 25 mL/hr is low but not necessarily a reason to withhold medication.
B: Oxygen saturation 88% is below the normal range (95-100%) but is not a direct contraindication to withhold medication.
D: Respiratory rate 18/min is within the normal range (12-20/min) and not a reason to withhold medication.
Extract:
A nurse is providing teaching to a parent about sudden unexpected infant death (SUID).
Question 3 of 5
Which of the following statements should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Share a bedroom with your infant for the first 6 months. This recommendation follows safe sleep guidelines to reduce the risk of Sudden Infant Death Syndrome (SIDS). Having the infant nearby allows for easier monitoring and feeding during the night. It also promotes bonding and facilitates responsive caregiving.
Choice B is incorrect as soft crib mattresses increase the risk of suffocation.
Choice C is incorrect as nonflammable blankets are not a specific recommendation for safe sleep.
Choice D is incorrect as bumper pads pose a suffocation and entrapment hazard for infants.
Extract:
A nurse is preparing to insert a peripheral intravenous (IV) catheter for a preschooler.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action is C: Apply vapocoolant spray before the IV insertion. This helps numb the area, reducing pain during catheter placement. Asking the child to hold their breath (
A) is unnecessary and may cause anxiety. Explaining the procedure (
B) is important but does not directly impact pain management. Placing the IV in the dominant arm (
D) is not recommended as it may restrict movement post-insertion.
Extract:
A nurse is teaching a group of parents about expected gross motor skills for infants.
Question 5 of 5
Which of the following skills should the nurse include for a 2-month-old infant?
Correct Answer: A
Rationale: The correct answer is A: Lifts head 45° when lying prone. At 2 months, infants should have gained enough neck strength to lift their head to around 45° when placed on their stomach. This skill is crucial for building neck muscles and preparing for future milestones like sitting and crawling.
Choices B and D are incorrect as rolling over typically starts around 4-6 months.
Choice C is incorrect as head lag should disappear by 4 months.
Choices E, F, G are irrelevant.