ATI RN
ATI RN Pediatrics Nursing 2023 I Questions
Extract:
A nurse is caring for a school-age child following a femoral venous cardiac catheterization.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Keep the affected extremity straight for 4 hr. This action helps prevent bleeding or hematoma formation at the catheterization site by maintaining pressure on the vessel.
Choice A is incorrect because sterile dressing changes are typically done immediately after the procedure, not 8 hours later.
Choice C is important but not the immediate priority after catheterization.
Choice D is unnecessary as patients can resume normal diet post-procedure.
Extract:
A nurse is providing teaching to a parent about sudden unexpected infant death (SUID).
Question 2 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 caring for a school-age child following a femoral venous cardiac catheterization.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Keep the affected extremity straight for 4 hr. This action helps prevent bleeding or hematoma formation at the catheterization site by maintaining pressure on the vessel.
Choice A is incorrect because sterile dressing changes are typically done immediately after the procedure, not 8 hours later.
Choice C is important but not the immediate priority after catheterization.
Choice D is unnecessary as patients can resume normal diet post-procedure.
Extract:
A nurse is caring for a 6-month-old infant who has a subdural hematoma.
Question 4 of 5
Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Vomiting. In a pediatric patient with increased intracranial pressure (ICP), vomiting is a common finding due to pressure on the brainstem. Pinpoint pupils (choice
A) are seen in opioid overdose, not in increased ICP. A sunken fontanel (choice
B) may indicate dehydration, not increased ICP. Hypertonia (choice
C) is not typically associated with increased ICP.
Therefore, vomiting is the most relevant finding to expect in a patient with increased ICP.
Extract:
A nurse is assessing a 12-year-old child who has asthma and states, 'I am frustrated about not being able to participate in sports.'
Question 5 of 5
Which of the following responses should the nurse make?
Correct Answer: D
Rationale: The correct response is D: "You can participate in sports if you use your rescue inhaler before practice or games." This answer is correct because using a rescue inhaler before physical activity can help prevent exercise-induced asthma symptoms. It is a common and effective strategy to manage asthma and allow individuals to engage in sports safely.
Choice A is incorrect as it suggests avoiding sports altogether, which is not necessary if asthma is well-controlled.
Choice B is incorrect because it dismisses the importance of addressing the specific issue of exercise-induced asthma.
Choice C is incorrect as solely using a peak flow meter does not provide direct protection against asthma symptoms during physical activity.