ATI RN
ATI RN Pediatric Nursing 2023 Questions
Extract:
A nurse is caring for a school-age child who is having 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 to time the episode (
Choice
D). Timing the episode is essential in assessing the duration and severity of the situation, providing crucial information for further intervention. Administering chlorothiazide (
Choice
A) without proper assessment can be harmful. Holding the child down (
Choice
B) can escalate the situation and cause distress. Placing the child in a prone position (
Choice
C) may compromise airway and breathing.
Therefore, timing the episode (
Choice
D) is the most appropriate initial action for the nurse to take.
Extract:
A nurse is providing discharge teaching to the guardian of a child who has cystic fibrosis.
Question 2 of 5
Which of the following statements by the guardian indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A because it demonstrates understanding of the teaching about cystic fibrosis management. A high-calorie diet is crucial for individuals with cystic fibrosis to maintain a healthy weight and adequate nutrition.
Choice B is incorrect as annual sweat chloride testing is not related to dietary management.
Choice C is incorrect as pancrelipase medication should be swallowed whole with meals, not chewed.
Choice D is incorrect as dornase alfa is not used for wheezing but for mucus clearance in cystic fibrosis.
Extract:
A nurse in the emergency department is caring for an adolescent who is requesting testing for STIs.
Question 3 of 5
Which of the following actions is appropriate for the nurse to take?
Correct Answer: A
Rationale: The correct answer is A: Obtain written consent from the client. This is appropriate because written consent ensures that the client fully understands and agrees to the procedure or treatment. It also serves as a legal document to protect both the client and the nurse. Verbal consent (choice
B) may not be sufficient or easily documented. Contacting the client's parents (choice
C) may not be necessary if the client is competent to give consent. Postponing testing (choice
D) could delay necessary care.
Extract:
A nurse is caring for a 6-month-old infant who has gastroenteritis.
Question 4 of 5
Which of the following findings should the nurse identify as a manifestation of severe dehydration?
Correct Answer: B
Rationale: The correct answer is B: Sunken anterior fontanel. This finding indicates severe dehydration in infants due to decreased fluid volume in the body, causing the fontanel to appear sunken. Capillary refill time of 3 seconds (choice
A) is within normal limits. Weight loss of 5% (choice
C) can be seen in mild to moderate dehydration. Producing tears when crying (choice
D) is not a reliable indicator of hydration status.
Extract:
A nurse is performing a cranial nerve assessment on a school-age child.
Question 5 of 5
Which of the following findings indicates proper functioning of the child's trigeminal nerve?
Correct Answer: D
Rationale: The correct answer is D: The child has symmetrical jaw strength when biting down. Proper functioning of the trigeminal nerve, which controls the muscles of mastication, is indicated by symmetrical jaw strength when biting down. This nerve innervates the muscles responsible for chewing. The other choices are incorrect because: A: Maintaining balance with eyes closed involves the vestibular system, not the trigeminal nerve. B: The gag reflex is controlled by the glossopharyngeal and vagus nerves, not the trigeminal nerve. C: Identifying scents is associated with the olfactory nerve, not the trigeminal nerve.