ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
A nurse is caring for a group of clients on a pediatric unit.
Question 1 of 5
Which of the following clients is most at risk for insufficient vascular perfusion?
Correct Answer: D
Rationale: The correct answer is D: A school-age child who is in a spica cast. This child is at the most risk for insufficient vascular perfusion due to the constriction of blood vessels caused by the cast. The spica cast can impede blood flow, leading to decreased circulation and potential complications like compartment syndrome. The other choices do not directly impact vascular perfusion as significantly as a spica cast, making them less likely to result in insufficient perfusion. The urinary tract infection in choice A may lead to sepsis but not directly affect vascular perfusion. The intravenous fluids in choice B aim to maintain hydration and do not inherently pose a risk to vascular perfusion. Otitis media in choice C typically does not lead to compromised blood flow.
Extract:
A nurse is providing teaching to the guardian of a 2-year-old child about typical toddler behavior.
Question 2 of 5
Which of the following behaviors should the nurse include?
Correct Answer: B
Rationale: The correct answer is B, "Frequent negative responses." This behavior should be included as it may indicate potential issues or emotions that the nurse needs to address. It is important for the nurse to be aware of negative responses to provide appropriate care and support. Other options are incorrect as:
A) Being less emotionally labile may not necessarily be a behavior that needs to be included.
C) Being resistant to routines may hinder progress in the care plan.
D) Increased dependency may lead to a lack of independence and hinder the patient's overall well-being.
Extract:
Question 3 of 5
A nurse is planning care for a child who is in the acute stage of nephrotic syndrome. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: C
Rationale: Rationale for correct answer (
C): Weighing the child daily is crucial in monitoring fluid status in nephrotic syndrome. Sudden weight gain indicates fluid retention, a common symptom. This intervention helps assess treatment effectiveness and prevent complications like edema and hypertension.
Summary of incorrect choices:
A: Positioning supine can worsen edema due to fluid accumulation in dependent areas.
B: Limiting calorie intake may be necessary in some cases, but not a priority in the acute stage.
D: Increasing fluid intake may exacerbate fluid overload and worsen edema.
E, F, G: No information provided.
Question 4 of 5
A nurse is caring for a toddler who has impetigo. Which of the following actions by the nurse indicates an understanding of how impetigo is spread?
Correct Answer: B
Rationale: The correct answer is B: Wearing gloves when assessing the toddler. Impetigo is primarily spread through direct contact with the infected skin or items contaminated with the bacteria. Wearing gloves during assessment prevents the nurse from coming into direct contact with the lesions, reducing the risk of spreading the infection.
A: Initiating droplet precautions is not necessary for impetigo as it is not transmitted through respiratory droplets.
C: Placing the toddler in a negative airflow room is not required for impetigo, as it is not an airborne infection.
D: Providing a protective environment is a broad term and does not specifically address the mode of transmission of impetigo.
Extract:
A nurse is preparing a child for a lumbar puncture.
Question 5 of 5
In which of the following positions should the child be placed for the procedure?
Correct Answer: B
Rationale: The correct answer is B: Lateral. Placing the child in a lateral position is ideal for the procedure as it allows for easy access to the targeted area while providing stability and comfort. Lateral positioning also minimizes the risk of injury and maximizes the effectiveness of the procedure.
A: Semi-Fowler's position is not suitable as it may not provide adequate access or stability.
C: Supine position is not ideal for certain procedures that require a lateral approach.
D: Prone position is not appropriate as it does not allow for proper access or visibility of the target area.