ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
A nurse is caring for an infant who has necrotizing enterocolitis.
Question 1 of 5
Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Rounded abdomen. In a pediatric patient with nephrotic syndrome, a rounded abdomen is a common finding due to ascites caused by hypoalbuminemia. This occurs because the kidneys lose protein, leading to fluid retention in the abdomen. Vomiting (
A) is not a typical finding in nephrotic syndrome. Hypertension (
B) is not a typical finding in nephrotic syndrome but rather can be seen in other renal disorders. Tachypnea (
D) is not a common finding in nephrotic syndrome unless there is severe fluid overload.
Extract:
A nurse is planning care for a preschooler who has autism spectrum disorder.
Question 2 of 5
Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: The correct answer is B: Establish a reward system. This intervention is important in pediatric nursing to promote positive behavior and compliance with treatments. By providing incentives, the child is motivated to participate in their care. Holding the child during assessments (
A) may hinder the assessment process. Maintaining extended eye contact (
C) can be intimidating for some children. Engaging in cooperative play (
D) may not be relevant to the specific care plan.
Choices E, F, and G are not provided but based on the context, they would likely be incorrect since they are not related to interventions for promoting cooperation in pediatric care.
Extract:
A nurse is evaluating the pain level of a toddler who is cognitively impaired to a non-pharmacologic intervention.
Question 3 of 5
Which of the following pain scales should the nurse use to evaluate the toddler's pain level?
Correct Answer: A
Rationale: The correct answer is A: FLACC. FLACC (Face, Legs, Activity, Cry, Consolability) scale is specifically designed for assessing pain in nonverbal patients like toddlers. It evaluates different indicators of pain behavior, providing a comprehensive assessment. FACES and Visual analog scales are more suitable for older children or adults as they require self-reporting. CRIES scale is used for neonates, not toddlers. Using FLACC ensures accurate pain assessment in toddlers.
Extract:
A nurse is preparing to assess a 4-year-old child's visual acuity.
Question 4 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: The correct answer is A: Use a tumbling E chart for the assessment. This is the correct action because using a tumbling E chart is a common method to assess visual acuity in children. The chart consists of E shapes facing different directions, allowing the child to indicate the direction in which the E is pointing. This method is age-appropriate and engaging for children, making it easier to assess their visual acuity accurately.
Why the other choices are incorrect:
B: Testing the child without glasses before testing with glasses may not be necessary for all children and could lead to inaccurate results.
C: Positioning the child 4.6 meters (15 feet) from the chart is not a standard distance for visual acuity assessment in children.
D: Assessing both eyes together first, then each eye separately may not be the most effective approach for assessing visual acuity in children, as it may not provide accurate individual eye measurements.
Extract:
A nurse is teaching a group of parents about childhood immunizations.
Question 5 of 5
The nurse should identify that infants should receive the first dose of which of the following immunizations at 12 months of age?
Correct Answer: C
Rationale: The correct answer is C: Varicella. At 12 months of age, infants should receive the first dose of varicella (chickenpox) vaccine to protect them against this contagious disease. Varicella vaccine helps prevent severe complications and spread of the virus. Inactivated polio virus (choice
A) is typically given at 2 months of age. Hepatitis B (choice
B) vaccine is usually administered shortly after birth. Human papillomavirus (choice
D) vaccine is recommended for adolescents.
Therefore, varicella (choice
C) is the appropriate immunization for infants at 12 months of age.