ATI RN
ATI Nurs 213 Pediatric Exam Questions
Extract:
A nurse is planning care for a child who has suspected epiglottitis.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct action for the nurse to take is option B: Place the child in an upright position. This is the best immediate action as it helps prevent aspiration in a child with suspected epiglottitis. Placing the child upright helps maintain a patent airway and reduces the risk of airway obstruction. Options A, C, and D involve procedures that can potentially worsen the condition by triggering a gag reflex or causing distress to the child. Option A exposes the child to unnecessary radiation, option C may induce gagging and worsen the airway obstruction, and option D delays immediate intervention. Overall, placing the child in an upright position is the most appropriate and safest initial action in this scenario.
Extract:
A nurse is caring for a newborn who has hydrocephalus.
Question 2 of 5
Which of the following manifestations should the nurse expect to find?
Correct Answer: A
Rationale: The correct answer is A: Dilated scalp veins. Dilated scalp veins are commonly seen in infants with hydrocephalus due to increased intracranial pressure. This occurs because the veins are trying to compensate for the pressure by dilating to allow more blood flow. This manifestation is a result of the underlying condition and is a key indicator for hydrocephalus. The other choices are not typically associated with hydrocephalus. B: A backward sloping appearance of the forehead is not a typical manifestation of hydrocephalus. C: Hypertension is not a common finding in infants with hydrocephalus. D: Over-riding suture lines are not specific to hydrocephalus and can be seen in other conditions as well.
Extract:
A nurse is planning care for an infant who has spina bifida and is to undergo surgical closure of the myelomeningocele sac.
Question 3 of 5
Which of the following interventions should the nurse include in the plan of care?
Correct Answer: C
Rationale: The correct answer is C: Provide a latex-free environment. This is important to prevent allergic reactions in patients with latex allergies, ensuring their safety. Contact precautions (choice
A) are used for infection control, not relevant in this case. Maintaining the infant in the supine position (choice
B) is related to safe sleep practices, not specifically mentioned in the question. Limiting visitors to immediate family members (choice
D) is important for infection control, but not directly related to the plan of care.
Extract:
The nurse needs to administer an intramuscular (IM) injection to a 2-year-old child.
Question 4 of 5
Where is the best site to administer the injection?
Correct Answer: A
Rationale: The correct answer is A, the anterior outer quadrant of the thigh, for administering injections. This site is preferred due to a higher muscle mass, minimal nerve and vascular structures, and easy accessibility. It reduces the risk of hitting major blood vessels, nerves, or bones. The deltoid muscle in the arm (choice
B) is not recommended for large volumes due to the risk of nerve injury. The upper outer quadrant of the buttocks (choice
C) carries the risk of sciatic nerve damage.
Choice D is incorrect as the buttocks have a higher risk of hitting the sciatic nerve compared to the thigh.
Extract:
A nurse is caring for a child who has Kawasaki disease.
Question 5 of 5
Which of the following systems should the nurse monitor in response to this diagnosis?
Correct Answer: C
Rationale: The correct answer is C: Cardiovascular. For this diagnosis, monitoring the cardiovascular system is crucial as it directly relates to the patient's condition. The cardiovascular system is responsible for delivering oxygen and nutrients to tissues, which is essential for healing. Monitoring heart rate, blood pressure, and perfusion are vital to assess the patient's response to treatment. Gastrointestinal, respiratory, and integumentary systems may indirectly be affected but monitoring the cardiovascular system is the priority in this situation.