ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
A nurse is assessing a child who is 2 hours postoperative following a cardiac catheterization and finds the dressing is saturated with blood.
Question 1 of 5
Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: The correct answer is B: Apply pressure just above the insertion site. This action is crucial to prevent further bleeding or hematoma formation at the insertion site. Applying pressure helps control the bleeding and promotes hemostasis, which is a priority in this situation to ensure patient safety. Reinforcing the dressing (
A) can come after controlling the bleeding. Obtaining vital signs (
C) and monitoring the pulse distal to the insertion site (
D) are important assessments but should follow immediate interventions to control bleeding.
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 2 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.
Extract:
Question 3 of 5
A nurse is obtaining informed consent for an adolescent who is scheduled for a cardiac catheterization. The adolescent's guardian states, 'I don't understand why they need to do this procedure.' Which of the following actions should the nurse take?
Correct Answer: B
Rationale:
Correct Answer: B. Notify the provider who is scheduled to perform the procedure.
Rationale: The nurse should notify the provider performing the procedure as they are the most qualified to explain the necessity of the cardiac catheterization and address any concerns or questions the guardian may have. The provider can provide detailed information about the procedure, potential risks, benefits, and alternatives, helping to ensure that the guardian understands the importance of the procedure for the adolescent's health.
Incorrect
Choices:
A: Requesting assistance from the anesthesiologist is not the most appropriate action as the anesthesiologist's role may not involve explaining the procedure itself.
C: While explaining the procedure to the adolescent and guardian is important, in this scenario, involving the provider directly is crucial to address the guardian's concerns.
D: Witnessing the adolescent's signature on the consent form is important but does not address the guardian's lack of understanding.
Question 4 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 teaching the guardian of a newborn about how to prepare their 3-year-old child to meet their new sibling.
Question 5 of 5
Which of the following statements should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: "Provide a doll for your 3-year-old child to imitate parental behaviors." This statement is correct because it encourages the child to engage in symbolic play, which can help them process and understand the upcoming changes in the family dynamics with the arrival of a newborn. By imitating parental behaviors with a doll, the child can learn about caregiving and prepare for the new sibling.
Statements B, C, and D are incorrect because they do not provide specific guidance on how to help the child adjust to the new situation. Statement B could cause unnecessary stress for the child by suggesting a sudden change in routines. Statement C may lead to confusion or unrealistic expectations for the child about the new playmate. Statement D does not address the child's emotional readiness for the transition from a crib to a bed.
In summary, providing a doll for the child to imitate parental behaviors is the most appropriate and helpful suggestion for preparing a 3-year-old child for the arrival of