ATI RN
ATI RN Pediatrics Nursing 2023 I Questions
Extract:
A nurse is caring for a preschooler who has a new diagnosis of celiac disease.
Question 1 of 5
Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Pale, oily stools. This finding is indicative of malabsorption, possibly due to conditions like celiac disease or pancreatic insufficiency. Redcurrant, jelly-like stools (choice
A) may suggest intussusception. Increased hemoglobin level (choice
B) is not directly related to stool appearance. Hematemesis (choice
D) refers to vomiting blood, not stool characteristics.
Extract:
A nurse is assessing an infant who has congestive heart failure.
Question 2 of 5
Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Tachypnea. In a patient experiencing pain or anxiety, tachypnea (increased respiratory rate) is a common finding due to the body's sympathetic response. This occurs as a result of increased levels of adrenaline and cortisol, leading to rapid breathing as the body prepares for "fight or flight." Increased urine output (
A) is not typically associated with pain or anxiety. Bradycardia (
B) and increased blood pressure (
C) are less likely findings in this situation, as the sympathetic response typically leads to increased heart rate and blood pressure.
Extract:
A nurse is caring for a pediatric client receiving radiation therapy to the abdominal area.
Question 3 of 5
Which of the following statements by the nurse promotes proper skin integrity for the client?
Correct Answer: A
Rationale:
Correct Answer: A: "Do not wash the area with strong soaps and do not rub the area dry, just pat it dry."
Rationale: Proper skin integrity is maintained by gentle cleansing and patting dry to prevent irritation and damage. Strong soaps can strip the skin of natural oils, leading to dryness and potential damage. Patting the skin dry rather than rubbing helps prevent friction and further irritation.
Summary of Incorrect
Choices:
B: Applying triple antibiotic ointment may not be necessary for promoting skin integrity and can sometimes lead to allergic reactions or sensitivities.
C: Using an abdominal binder may restrict airflow and moisture, potentially leading to skin breakdown.
D: Keeping the area exposed to direct sunshine can increase the risk of sunburn and damage to the skin, rather than promoting proper skin integrity.
Extract:
A nurse is performing a dressing change for a child and notices that the gauze dressing is adhering to the wound bed.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Saturate the gauze dressing with sterile saline solution prior to removing it. This action helps prevent the dressing from sticking to the wound, minimizing trauma and pain during removal. Saturating the dressing with saline also helps maintain a moist wound environment, which is conducive to healing.
A: Applying firm pressure can cause trauma to the wound and disrupt the healing process.
B: Irrigating with hydrogen peroxide can be too harsh and may damage healthy tissue.
C: Pulling the dressing parallel to the skin can lead to unnecessary pain and potential damage to the wound bed.
Extract:
A nurse is teaching the guardians of a school-age child who has cystic fibrosis about dietary needs.
Question 5 of 5
Which of the following statements should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: "Offer your child foods that are high in fat." This is because children require essential fatty acids for brain development and overall growth. Fat is a concentrated source of energy and aids in the absorption of fat-soluble vitamins. It is important for healthy cell function and hormone production.
Choices A, C, and D are incorrect because low-calorie, high vitamin C, and low-protein foods may not provide adequate nutrition for a growing child. Offering foods high in fat, but choosing healthy fats like avocados, nuts, and seeds, can support a child's overall health and development.