ATI RN
ATI RN Pediatrics Nursing 2023 I Questions
Extract:
A nurse is assessing a school-age child who is receiving IV fluids to treat dehydration.
Question 1 of 5
Which of the following findings should indicate to the nurse that the fluid replacement therapy has been effective?
Correct Answer: A
Rationale: The correct answer is A: Capillary refill less than 2 seconds. This finding indicates effective fluid replacement therapy as it shows improved peripheral perfusion. A quick capillary refill time suggests that blood flow to the peripheral tissues is adequate, indicating proper circulation and hydration status. This is a direct and reliable indicator of fluid balance restoration.
Incorrect choices:
B: Elevated potassium levels indicate potential electrolyte imbalance, not fluid status.
C: Voiding less than 1 mL/kg/hr suggests inadequate renal perfusion, not necessarily improved fluid replacement.
D: Tachycardia can be a sign of hypovolemia or dehydration, not necessarily an indicator of effective fluid replacement.
Extract:
A nurse is providing teaching to a parent about sudden unexpected infant death (SUID).
Question 2 of 5
Which of the following statements should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Share a bedroom with your infant for the first 6 months. This recommendation follows safe sleep guidelines to reduce the risk of Sudden Infant Death Syndrome (SIDS). Having the infant nearby allows for easier monitoring and feeding during the night. It also promotes bonding and facilitates responsive caregiving.
Choice B is incorrect as soft crib mattresses increase the risk of suffocation.
Choice C is incorrect as nonflammable blankets are not a specific recommendation for safe sleep.
Choice D is incorrect as bumper pads pose a suffocation and entrapment hazard for infants.
Extract:
A nurse is assessing a child who has bacterial pneumonia.
Question 3 of 5
Which of the following findings should the nurse identify as a potential risk for aspiration?
Correct Answer: B
Rationale: The correct answer is B: Neurological deficit. Neurological deficits can impair the ability to protect the airway and coordinate swallowing, increasing the risk of aspiration. Elevated temperature (
A) does not directly indicate aspiration risk. Inspiratory wheezing (
C) suggests airway narrowing but not necessarily aspiration risk. Rapid respirations (
D) can be a sign of respiratory distress, but not specifically aspiration risk.
Extract:
A nurse is performing a physical assessment for a 13-year-old adolescent.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A because having the child bend forward at the waist and checking for asymmetry of the scapula is a specific action related to assessing for scoliosis. This position helps in identifying any irregularities in the alignment of the spine. Option B is incorrect as auscultating the abdomen for bowel sounds is unrelated to the scenario. Option C, using the FACES scale, is more applicable for assessing pain intensity, not for assessing scoliosis. Option D, observing abdominal movement for respiratory rate, is also not relevant to the assessment of scoliosis.
Extract:
A nurse is providing teaching about participating in sports to a 12-year-old child who has hemophilia.
Question 5 of 5
Which of the following sports should the nurse recommend?
Correct Answer: D
Rationale: The correct answer is D: Bowling. The nurse should recommend bowling because it is a low-impact sport suitable for individuals of all ages and fitness levels. Bowling helps improve hand-eye coordination, balance, and social interaction. It is a safe and enjoyable activity that can be done indoors, making it accessible year-round. Additionally, bowling can be a stress-relieving and fun way to stay active.
Other choices are incorrect because basketball and soccer are high-impact sports that may not be suitable for everyone, especially those with certain health conditions or physical limitations. Gymnastics requires a higher level of flexibility and strength, which may not be suitable for everyone.