ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
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."
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D. The nurse should notify the provider scheduled to perform the procedure because they are responsible for ensuring that the correct information is communicated to the provider directly involved in the procedure. This is crucial for patient safety and continuity of care.
Choice A is important but does not address the immediate need to inform the provider.
Choice B is important but does not address the need to communicate with the provider.
Choice C is unnecessary as the nurse should directly communicate with the provider.
Extract:
A nurse is assessing an 18-month-old toddler during a well-child visit.
Question 2 of 5
Which of the following findings should the nurse identify as a potential developmental delay?
Correct Answer: B
Rationale: The correct answer is B: Walks with assistance. Walking independently is a milestone typically achieved around 12-15 months. Walking with assistance beyond this age may indicate a developmental delay in gross motor skills. Engaging in parallel play (
A) is typical for toddlers. Speaking at least 10 words (
C) is a language development milestone. Building a tower of 3 blocks (
D) is a fine motor skill milestone. The absence of other choices indicates they are not relevant to developmental delays.
Extract:
A nurse in a school-based health center is educating a group of adolescents about prevention and treatment of sexually transmitted infections (STIs).
Question 3 of 5
Which of the following information should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Prompt treatment can prevent complications of STIs. This information is crucial for patients to understand the importance of seeking treatment early to prevent serious consequences such as infertility or chronic health issues.
Choice A is incorrect because abstinence is an effective way to prevent STIs.
Choice B is incorrect as adolescents are at a high risk for contracting STIs due to factors such as lack of experience with protection.
Choice D is incorrect as having one sexual partner does not guarantee protection from STIs.
Extract:
A nurse is teaching a child who has asthma about using a metered-dose inhaler with a mouthpiece.
Question 4 of 5
Identify the sequence of steps the nurse should instruct the child to take.
Order the Items
Source Container
Correct Answer: A,C,B,D
Rationale: The correct order is A, C, B, D. First, the child should depress the canister while inhaling slowly (
A) to ensure proper medication delivery. Holding the breath for 10 seconds (
C) allows for optimal absorption. Removing the inhaler from the mouth (
B) prevents further inhalation. Finally, exhaling slowly through the nose (
D) helps in maintaining the medication in the respiratory tract. Other choices are incorrect as they do not follow the logical sequence required for effective inhaler use.
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 5 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Chest tube drainage of 200 mL in 1 hr. This finding indicates excessive drainage which could be a sign of hemorrhage or other complications. The nurse should report this to the provider immediately for further assessment and intervention to prevent further complications.
A: Serous chest tube drainage is a normal finding and does not require immediate reporting.
C: Fluctuation in the water-sealed chamber is a normal finding indicating proper functioning of the chest drainage system.
D: Respiratory rate of 22/min is within normal range and does not require immediate provider notification.
Overall, choice B is the correct answer as it signifies a potentially serious issue that needs prompt attention.