ATI RN
ATI RN Pediatrics Nursing 2023 I Questions
Extract:
A nurse is assessing a child who has bacterial pneumonia.
Question 1 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 teaching a parent of a 4-month-old infant who has developmental dysplasia of the hip and is prescribed a Pavlik harness.
Question 2 of 5
Which of the following instructions on the use of a Pavlik harness should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Place the diaper under the straps. Placing the diaper under the straps helps prevent skin irritation and chafing by creating a barrier between the straps and the baby's skin. This instruction promotes skin integrity and comfort for the infant.
Explanation for why the other choices are incorrect:
A: Avoid massaging the skin under the straps - Massaging the skin under the straps could cause discomfort and potentially disrupt the proper positioning of the harness.
B: Use lotion on the skin under the harness - Lotions can interfere with the harness's effectiveness and may cause slippage. It is best to avoid using lotions under the harness.
C: Adjust the harness straps weekly - The straps of the Pavlik harness need to be regularly adjusted as per the healthcare provider's instructions, not necessarily weekly.
Overall, choice D is the correct instruction for ensuring the safety and comfort of the infant while using the Pavlik harness.
Extract:
A nurse is providing teaching to the guardian of a toddler who has scabies.
Question 3 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.
Extract:
Vital Signs 0900: Temperature 37° C (98.6° F), Heart rate 90/min, Respiratory rate 22/min, Blood pressure 110/70 mm Hg, Oxygen saturation 96% on room air; 1000: Temperature 37.3°C (99.7° F), Heart rate 98/min, Respiratory rate 25/min, Blood pressure 120/74 mm Hg, Oxygen saturation 96% on room air; Laboratory Results 1000: WBC count 9,500/mm3 (5,000 to 10,000/mm3), Hgb 9 g/dL (10 to 15.5 g/dL), Hct 18% (32% to 44%), Platelets 450,000/mm3 (150,000 to 400,000/mm3); Nurses' Notes 0900: Child admitted to unit in vaso-occlusive crisis. Child reports pain in the right knee as 7 on a scale of 0 to 10. Right knee is swollen and warm to the touch. Pulses are +2 and capillary refill 2 seconds in all extremities. 1000: Notified provider regarding laboratory results. Child reports pain in the right knee is now 10 on a scale of 0 to 10.
Question 4 of 5
A nurse is caring for a 12-year-old client who has sickle cell disease. Complete the following sentence by using the lists of options: The nurse should anticipate a provider prescription for ___ due to the child's ___.
Correct Answer: A
Rationale: The correct answer is A: IV hydromorphone due to pain. In sickle cell disease, vaso-occlusive pain crises are common due to the blockage of blood flow by sickled red blood cells. IV hydromorphone is a potent opioid analgesic used to manage severe pain in such crises. IV fluids (option
B) may be necessary to prevent dehydration, but it is not the primary intervention for pain management in sickle cell disease. Acetaminophen (option
C) is used for fever, which is not the main concern in this case. Oxygen (option
D) may be needed in cases of acute chest syndrome but is not the first-line treatment for pain in sickle cell crisis.
Extract:
A nurse is providing teaching to the parent of a school-age child who has diabetes mellitus about managing diabetes during illness.
Question 5 of 5
Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B: "I will increase the amount of fluids I offer my child." This statement indicates an understanding of teaching because increasing fluid intake helps prevent dehydration, a common complication in diabetes. Dehydration can lead to high blood sugar levels and other health issues. Offering more fluids can help maintain hydration and support overall health.
Incorrect
Choices:
A: Offering a specific amount of carbohydrates every 2 hours may not address the child's individual needs or fluctuations in blood sugar levels.
C: Withholding insulin when the child has a poor appetite can lead to uncontrolled blood sugar levels and potential complications.
D: Monitoring blood glucose levels every 8 hours may not provide enough information to manage diabetes effectively and respond promptly to changes.