ATI RN
ATI RN Pediatrics Nursing 2023 I Questions
Extract:
A nurse is assessing an infant who has congestive heart failure.
Question 1 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 reinforcing the provider's explanation about treatment options to the parents of a 1-month-old who has coarctation of the aorta.
Question 2 of 5
Which of the following statements should the nurse include?
Correct Answer: B
Rationale:
Step 1: Surgical repair is the recommended treatment for infants younger than 6 months old because it addresses the underlying issue causing the obstruction, ensuring proper functioning of the affected organ.
Step 2: Medication like indomethacin may be used in certain cases, but it is not the primary treatment for infants with this condition.
Step 3: Heart transplant is a drastic measure and not typically the first-line treatment for infants with obstruction issues.
Step 4: Most cases resolving spontaneously without treatment by 12 months is not a reliable approach as it may lead to complications and delays in appropriate management.
Summary:
Choice B is the correct answer as it aligns with the standard of care for infants with obstructions, while the other choices offer less effective or inappropriate treatment options.
Extract:
A nurse is assessing a child who has rubeola.
Question 3 of 5
Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Koplik spots. This finding is associated with measles, and the nurse should expect it in a patient with the disease. Koplik spots are small, white spots with a bluish-white center on the buccal mucosa opposite the molars. The presence of Koplik spots is pathognomonic for measles. Lymphadenopathy (choice
A) is not a specific finding related to measles. Steatorrhea (choice
B) is not associated with measles but rather with malabsorption syndromes. Paroxysmal coughing (choice
D) is more indicative of pertussis. In summary, Koplik spots are a key finding in measles, making choice C the correct answer.
Extract:
A nurse is teaching the guardians of a school-age child who has cystic fibrosis about dietary needs.
Question 4 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.
Extract:
A nurse is providing teaching to the guardian of a toddler who has scabies.
Question 5 of 5
Which of the following statements should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C because it addresses the importance of treating close contacts to prevent the spread of contagious diseases like scabies. This statement emphasizes the need for comprehensive treatment to eradicate the infestation completely.
Choice A focuses on treatment for the child, but does not address the potential spread to others.
Choice B is incorrect as scabies is primarily spread through direct skin-to-skin contact, so cleaning the entire home is unnecessary.
Choice D is related to managing scabies on clothing and linens, but it does not address the crucial aspect of treating close contacts.