ATI RN
ATI RN Pediatrics Nursing 2023 I Questions
Extract:
A nurse is transporting a 12-year-old child in a wheelchair. The child begins to experience a tonic-clonic seizure.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct action for the nurse to take is D: Move the child to the floor. This is because moving the child to the floor ensures a safe environment in case of a fall or seizure. Inserting an oral airway (
A) may not be necessary if the child is not in respiratory distress. Applying soft restraints (
B) can escalate the situation and may not be indicated unless absolutely necessary. Placing a pillow under the child's knees (
C) is not a priority in this situation.
Extract:
A nurse is caring for a toddler who had a cleft lip and palate repair and is trying to touch the incision site.
Question 2 of 5
Which of the following provider prescriptions is recommended for the toddler?
Correct Answer: B
Rationale: The correct answer is B: Place the toddler in bilateral elbow restraints. This option is recommended for the toddler as it helps to prevent the child from causing self-harm by pulling out IV lines or tubes. Elbow restraints are commonly used in healthcare settings to ensure the safety of pediatric patients without causing harm or discomfort.
Choice A (Swaddle the toddler in a blanket) is incorrect as it does not provide the necessary level of restraint to prevent self-harm.
Choice C (Place the child in a mummy restraint) is also incorrect as mummy restraints are not typically used for toddlers due to the risk of restricting movement and causing discomfort.
Choice D (Obtain a prescription for lorazepam) is not recommended as it is a medication and should not be used solely for the purpose of restraint in a toddler. It is important to explore non-pharmacological options first before resorting to medication.
Extract:
A nurse is assessing a child who has bacterial pneumonia.
Question 3 of 5
Which of the following findings should the nurse identify as a potential risk for aspiration?
Correct Answer: B
Rationale: The correct answer is B: Neurological deficit. Neurological deficits can impair the ability to protect the airway and coordinate swallowing, increasing the risk of aspiration. Elevated temperature (
A) does not directly indicate aspiration risk. Inspiratory wheezing (
C) suggests airway narrowing but not necessarily aspiration risk. Rapid respirations (
D) can be a sign of respiratory distress, but not specifically aspiration risk.
Extract:
A nurse is providing preoperative teaching for a 9-year-old child who is scheduled for a tonsillectomy.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A because using simple diagrams helps enhance understanding, especially for visual learners. It aids in clear communication and comprehension of the procedure.
Choice B, indicating on a stuffed animal, only provides a vague representation.
Choice C, providing teaching immediately before, may not allow enough time for processing.
Choice D, discussing benefits, is important but not the immediate action needed for clarity.
Extract:
A nurse is reviewing the laboratory results of a school-age child who has glomerulonephritis.
Question 5 of 5
Which of the following laboratory findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Mild hematuria. This finding is expected in conditions like urinary tract infection or kidney stones, which can cause blood in the urine. Hyponatremia (
B) is low sodium in the blood, not a typical lab finding in these conditions. Absent urine protein (
C) is not commonly associated with urinary tract issues. Decreased blood potassium (
D) is more indicative of conditions like renal failure or certain medications. Hematuria is the most likely finding in this scenario, making it the correct choice.