ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
A nurse is providing peritoneal dialysis to a child and observes there is minimal dialysate outflow at the end of the outflow time.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Instruct the child to change position. This action helps prevent complications such as clotting or kinking of the catheter during peritoneal dialysis. Changing positions can improve fluid flow and ensure proper dialysis efficiency. Increasing dwell time (choice
A) may lead to complications. Increasing oral fluid intake (choice
C) is important but not the immediate action needed. Assessing for a bruit (choice
D) is not relevant to peritoneal dialysis.
Extract:
Question 2 of 5
A nurse is preparing to assess a 4-year-old child's visual acuity. Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: The correct answer is D: Use a tumbling E chart for the assessment. This is the correct answer because the tumbling E chart is commonly used for assessing visual acuity in young children who may not know their letters. The nurse can instruct the child to point in the direction the "legs" of the E are facing. This method allows for an accurate assessment of the child's visual acuity.
Choice A is incorrect because it is important to test the child with glasses, if they wear them, to determine their visual acuity with correction.
Choice B is incorrect as the child should be positioned 3 to 6 meters (10 to 20 feet) away from the chart, not specifically 4.6 meters.
Choice C is incorrect as it is recommended to assess each eye separately first to identify any discrepancies in visual acuity between the eyes.
Question 3 of 5
A nurse is caring for a newly admitted child who has cystic fibrosis. For which of the following members of the interprofessional team should the nurse initiate a referral?
Correct Answer: C
Rationale: The correct answer is C: Dietitian. Children with cystic fibrosis often require specialized nutritional support due to malabsorption issues. A dietitian can assess the child's nutritional status, provide individualized dietary plans, and monitor their growth. Referring to an occupational therapist (
A) may not be the priority as there are no indications of specific occupational therapy needs. Speech-language pathologists (
B) primarily address communication and swallowing disorders, which are not the main concerns in cystic fibrosis. Physical therapists (
D) focus on mobility and physical function, which are not the primary issues in cystic fibrosis management.
Extract:
A nurse is preparing a child for a lumbar puncture.
Question 4 of 5
In which of the following positions should the child be placed for the procedure?
Correct Answer: B
Rationale: The correct answer is B: Lateral. Placing the child in a lateral position is ideal for the procedure as it allows for easy access to the targeted area while providing stability and comfort. Lateral positioning also minimizes the risk of injury and maximizes the effectiveness of the procedure.
A: Semi-Fowler's position is not suitable as it may not provide adequate access or stability.
C: Supine position is not ideal for certain procedures that require a lateral approach.
D: Prone position is not appropriate as it does not allow for proper access or visibility of the target area.
Extract:
A nurse is providing teaching to the parent of a 10-month-old infant who is having difficulty eating. The parent is feeding their infant goat milk.
Question 5 of 5
Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Offer commercially prepared formula. This is the most appropriate choice as it ensures the infant receives proper nutrition and avoids potential risks associated with other options.
Choice B (Switch to soy milk) is not recommended for infants due to potential allergies.
Choice C (Reinitiate breastfeeding) may not be feasible or safe for all mothers.
Choice D (Warm goat's milk before feeding) is not recommended as goat's milk lacks essential nutrients for infants. Overall, option A is the safest and most suitable choice for infant nutrition.