ATI RN
ATI RN Pediatrics Nursing 2023 I Questions
Extract:
A nurse is performing a physical assessment for a 13-year-old adolescent.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A because having the child bend forward at the waist and checking for asymmetry of the scapula is a specific action related to assessing for scoliosis. This position helps in identifying any irregularities in the alignment of the spine. Option B is incorrect as auscultating the abdomen for bowel sounds is unrelated to the scenario. Option C, using the FACES scale, is more applicable for assessing pain intensity, not for assessing scoliosis. Option D, observing abdominal movement for respiratory rate, is also not relevant to the assessment of scoliosis.
Extract:
A nurse is teaching the parent of an infant about car seat safety.
Question 2 of 5
Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Keep the car seat in a rear-facing position until your infant is 2 years old. This instruction is crucial for infant safety as rear-facing car seats provide the best protection in case of a crash, especially for infants under 2 years old. It helps to support the infant's head, neck, and spine alignment, reducing the risk of injury.
Choices B, C, and D are incorrect. B is unsafe as the harness should be fastened snugly against the infant's body without any bulky clothing like a winter coat. C is incorrect as airbags can pose a serious threat to infants and should be deactivated if the car seat is placed in the front passenger seat. D is also wrong as padding the backrest with a thick blanket can compromise the effectiveness of the car seat in a crash.
Extract:
A nurse is caring for a 6-month-old infant who has a subdural hematoma.
Question 3 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 providing teaching to an adolescent who has vulvovaginitis.
Question 4 of 5
Which of the following statements should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Apply a warm, moist compress three times per day. This statement should be included in teaching because it promotes wound healing by increasing blood flow and promoting drainage. A: Scented baby powder can cause irritation and should be avoided. C: Feminine deodorant pads can disrupt the natural pH balance of the vagina. D: Nylon underwear can trap moisture and lead to infection.
Extract:
A nurse is caring for an infant who has otitis media and is to receive amoxicillin 30 mg/kg/day in divided doses every 12 hr. The child weighs 13 lb.
Question 5 of 5
How many mg should the nurse administer? (Round the answer to the nearest whole number.)
Correct Answer: B
Rationale: The correct answer is B: 89 mg.
To determine the correct dosage, we need to calculate the average of the values provided (87, 89, 91, and 93). Adding them together gives 360. Dividing by 4 gives 90, which rounds to 89. A is too low, C and D are too high as the average of the values falls closest to 89.