ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
A nurse is caring for a client who is postoperative following placement of a halo vest to manage a cervical vertebral fracture.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Neck movement risks instability. Pin sites need daily checks. Screw adjustments are provider-only. Turning sheets ensure safe repositioning without spinal strain.
Extract:
A nurse is caring for a school-age child who weighs 20 kg (44 lb) and is postoperative with chest tubes in place.
Question 2 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: Serous drainage and chamber fluctuation are normal. A respiratory rate of 22/min is typical. 200 mL/hr drainage suggests bleeding, requiring urgent reporting.
Extract:
A nurse is planning care for a child who has varicella.
Question 3 of 5
Which of the following interventions should the nurse plan to include?
Correct Answer: D
Rationale: Koplik spots are for measles, not varicella. Aspirin risks Reye's syndrome. A blanket aids comfort but isn't specific. Airborne precautions prevent varicella's spread via droplets.
Extract:
A nurse is assessing an 18-month-old toddler during a well-child visit.
Question 4 of 5
Which of the following findings should the nurse identify as a potential developmental delay?
Correct Answer: B
Rationale: Parallel play, 10 words, and 3-block towers are normal at 18 months. Walking with assistance suggests delay, as independent walking is expected by this age.
Extract:
Nurses' Notes (0700 hrs): Received the child awake, alert, and crying. Parent states that the child was playing with a remote control toy and when the parent heard the child crying, they noticed that a battery was missing from the toy. The parent states that the child was drooling more than usual and witnessed them gagging periodically. Child is lying on the parent's chest with eyes open and requesting a ‘sippy cup'. Continues to have expiratory wheezing in bilateral upper lobes. Preparing the child for diagnostic testing; Vital Signs (0700 hrs): Heart rate: 90/min, Blood pressure: 88/45 mm Hg, Respiratory rate: 30/min, Oxygen saturation: 96%, Axillary temperature: 36.9° C (98.4° F); Diagnostic Results (0730 hrs): X-ray of the neck, chest, and abdomen completed. Biplane radiographic study identifies an object in the esophagus. No foreign objects visualized in the chest or abdomen; Provider's Prescriptions (0745 hrs): Keep the child NPO, Prepare the child for flexible endoscopy, Obtain informed consent from the parents, Monitor the child closely for return of gag reflex; A nurse in the emergency department is caring for a toddler.
Question 5 of 5
Complete the following sentence by using the list of options. The nurse should first:
Correct Answer: D
Rationale: Preparing the child for flexible endoscopy is a necessary step to remove the foreign object from the esophagus. However, before any procedure can be performed, it is essential to obtain informed consent from the parents. Encouraging the parents to inspect toys for easily removable parts is an important preventive measure but not the immediate priority. Monitoring the child closely for the return of the gag reflex is relevant post-procedure. Obtaining informed consent is the first priority to ensure the parents are fully informed and have given permission for the procedure.