ATI RN
ATI RN Pediatric Nursing 2023 Questions
Extract:
A nurse is caring for a group of clients.
Question 1 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A. An 18-month-old toddler with a heart rate of 68/min is bradycardic for their age. This finding could indicate a potential cardiac issue or other underlying health concern that requires immediate attention. Bradycardia in young children can lead to decreased perfusion and oxygen delivery.
Choice B is within normal temperature range for a school-age child.
Choice C has a slightly elevated BP but is within an acceptable range for an adolescent.
Choice D is within the normal range for a 3-month-old infant.
Extract:
A nurse is providing teaching about injury prevention to the parents of a toddler.
Question 2 of 5
Which of the following safety measures should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Check clothing for loose buttons. This is important to prevent choking hazards for children. Loose buttons can easily come off and be swallowed, leading to a potential choking incident. Option B is incorrect as the recommended water heater temperature is 120° F to prevent scalding. Option C is incorrect as screens on windows may not be sufficient to prevent falls. Option D is incorrect as balloons pose a choking hazard.
Extract:
A nurse is providing discharge teaching to the guardian of a preschooler who had a tonsillectomy.
Question 3 of 5
Which of the following statements should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Notify the provider if your child is swallowing frequently. This is important because frequent swallowing could indicate a potential issue such as difficulty breathing or a foreign object in the throat. A: Dark brown blood between teeth is not typically a concern. B: Drinking through a straw may not be relevant to the situation. D: Clearing the throat as needed may not address the underlying problem.
Extract:
A nurse is providing teaching to the parent of a toddler who is scheduled for an electrocardiogram.
Question 4 of 5
Which of the following statements should the nurse make?
Correct Answer: A
Rationale: The correct answer is A because allowing the child to rest on the parent's lap during a procedure provides comfort, security, and reassurance. This helps reduce the child's anxiety and fear, making the procedure smoother.
Choice B is incorrect because alarms for heart rhythm are not typically mentioned to parents and may cause unnecessary worry.
Choice C is incorrect as leads are usually placed on the chest for cardiac procedures, not the back.
Choice D is incorrect because giving a specific time frame can lead to unrealistic expectations and anxiety if the procedure takes longer.
Extract:
A nurse is preparing to administer an enteral feeding to an adolescent who has an NG tube.
Question 5 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct action for the nurse to take first is to check the pH of the gastric secretions (
Choice
A). This is crucial to determine the placement of the NG tube in the stomach. If the pH is acidic (pH < 5), it indicates the tube is in the stomach. If the pH is alkaline (pH > 6), it may suggest the tube is in the respiratory tract, which could lead to serious complications if feeding is initiated. Setting the administration rate on the feeding pump (
Choice
B) should only be done after ensuring proper tube placement. Flushing the tube with water (
Choice
C) or attaching the feeding bag tubing to the end of the NG tube (
Choice
D) should also be done after verifying tube placement. Checking the pH is the first step in ensuring patient safety and preventing potential harm.