ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
A nurse is caring for a child who has epiglottitis due to an infection with Haemophilus influenzae type B.
Question 1 of 5
Which of the following actions should the nurse take? Select all that apply.
Correct Answer: C,D,E
Rationale: The correct actions for the nurse to take are C, D, and E. Beginning droplet precautions is essential to prevent the spread of respiratory infections. Monitoring oxygen saturation is crucial to assess respiratory function. Initiating IV access ensures access for emergency medication administration. Obtaining a throat culture (
A) is not necessary without signs of infection. Inspecting the epiglottis (
B) is not within the nurse's scope of practice.
Extract:
A nurse is caring for a newly admitted child.
Question 2 of 5
Which members of the interprofessional team should the nurse initiate a referral to?
Correct Answer: A
Rationale: The correct answer is A: Dietitian. The nurse should initiate a referral to a dietitian to address nutrition-related issues. Dietitians are experts in assessing and providing dietary recommendations for patients. They play a crucial role in promoting optimal health outcomes through personalized nutrition plans. Referring to a dietitian ensures comprehensive care for the patient's nutritional needs. Other options such as B: Occupational therapist, C: Physical therapist, and D: Speech-language pathologist are important members of the interprofessional team but may not be the primary referral for addressing nutrition concerns.
Extract:
A nurse is caring for a client who is postoperative following placement of a halo vest to manage a cervical vertebral fracture.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Reposition the client using a turning sheet. This action is essential to prevent pressure ulcers and maintain skin integrity in clients with a halo device. Repositioning helps redistribute pressure, improve circulation, and reduce the risk of skin breakdown. Encouraging neck flexion and extension (
A) can be harmful with a halo device. Assessing pin sites (
B) and tightening screws (
C) should be done by qualified healthcare providers to prevent complications.
Extract:
A nurse is caring for a child who has sickle cell anemia.
Question 4 of 5
Which of the following findings is the priority for the nurse to report to the provider?
Correct Answer: C
Rationale: The correct answer is C: Facial twitching. This finding is a potential sign of a neurological issue that may require immediate attention, such as a seizure or stroke. Enuresis, kyphosis, and constipation are important but not urgent concerns that can be addressed in a timely manner. Enuresis may indicate a urinary issue, kyphosis a spinal problem, and constipation a gastrointestinal issue. However, facial twitching suggests a more acute neurological issue that needs immediate assessment to prevent further complications.
Extract:
A nurse on a pediatric unit is caring for four children.
Question 5 of 5
The nurse should use droplet precautions for which of the following children?
Correct Answer: C
Rationale: The correct answer is C: A toddler who has seasonal influenza. Droplet precautions are used for infections transmitted through respiratory droplets. Seasonal influenza is a highly contagious respiratory illness spread through droplets.
Choice A (viral conjunctivitis) does not require droplet precautions as it is transmitted through direct contact with eye secretions.
Choice B (pediculosis capitis) is spread through direct head-to-head contact, not respiratory droplets.
Choice D (hepatitis
A) is transmitted through the fecal-oral route, not respiratory droplets.
Therefore, the correct choice is C as it aligns with the mode of transmission for droplet precautions.