ATI RN
ATI RN Pediatric Nursing 2023 Questions
Extract:
A nurse is caring for a 6-month-old infant who has gastroenteritis.
Question 1 of 5
Which of the following findings should the nurse identify as a manifestation of severe dehydration?
Correct Answer: B
Rationale: The correct answer is B: Sunken anterior fontanel. This finding indicates severe dehydration in infants due to decreased fluid volume in the body, causing the fontanel to appear sunken. Capillary refill time of 3 seconds (choice
A) is within normal limits. Weight loss of 5% (choice
C) can be seen in mild to moderate dehydration. Producing tears when crying (choice
D) is not a reliable indicator of hydration status.
Extract:
A nurse is performing a cranial nerve assessment on a school-age child.
Question 2 of 5
Which of the following findings indicates proper functioning of the child's trigeminal nerve?
Correct Answer: D
Rationale: The correct answer is D: The child has symmetrical jaw strength when biting down. Proper functioning of the trigeminal nerve, which controls the muscles of mastication, is indicated by symmetrical jaw strength when biting down. This nerve innervates the muscles responsible for chewing. The other choices are incorrect because: A: Maintaining balance with eyes closed involves the vestibular system, not the trigeminal nerve. B: The gag reflex is controlled by the glossopharyngeal and vagus nerves, not the trigeminal nerve. C: Identifying scents is associated with the olfactory nerve, not the trigeminal nerve.
Extract:
A nurse is assessing a child for scabies.
Question 3 of 5
Which of the following findings should the nurse identify as a manifestation of scabies?
Correct Answer: D
Rationale: The correct answer is D: Maculopapular skin burrows on the hand. Scabies is caused by a tiny mite that burrows into the skin, leading to the formation of characteristic burrows, which are tiny, raised, grayish-white or skin-colored lines on the skin. These burrows are most commonly found between the fingers, on the wrists, elbows, and genitals. Scaly lesions on the inner thighs (
A) are more indicative of other skin conditions like eczema or psoriasis. Rash with red macular lesions on the scalp (
B) is more suggestive of conditions like seborrheic dermatitis or psoriasis. Bull's eye edematous area on the groin (
C) is more likely associated with conditions like Lyme disease or ringworm.
Therefore, the presence of maculopapular skin burrows on the hand (
D) is the most specific manifestation of scabies.
Extract:
A nurse is caring for an adolescent who has a new diagnosis of type 1 diabetes mellitus.
Question 4 of 5
Which of the following recommendations should the nurse make?
Correct Answer: C
Rationale: The correct answer is C: Consult with a nutritionist. This recommendation is important to help manage diabetes effectively by providing personalized dietary guidance. A: Storing opened vials of insulin for 60 days is incorrect as insulin should be discarded after 28 days. B: Following up with physical therapy may be beneficial but is not the priority in this case. D: Monitoring capillary blood glucose daily is essential but does not address the need for nutritional guidance. Consulting with a nutritionist is crucial for optimizing blood sugar control and overall health in diabetes management.
Extract:
A nurse in a family practice clinic is assessing a preschool-age child who recently experienced the death of a sibling.
Question 5 of 5
Which of the following reactions is an age-appropriate response to death?
Correct Answer: B
Rationale: The correct answer is B: The child is curious about what happened to the sibling's body. This response is age-appropriate as children often have a natural curiosity about death and what happens to the body after death. It reflects a typical stage of development where children are trying to make sense of the concept of death. Other choices are incorrect: A is incorrect as children may not fully grasp the permanence of death at a young age. C is incorrect as children may not always be able to provide a logical explanation for death due to their limited cognitive abilities. D is incorrect as children typically do not feel responsible for a sibling's death unless there are specific circumstances leading to such feelings.