ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
A nurse is providing teaching to the guardian of an 11-month-old infant who has acute diarrhea.
Question 1 of 5
Which of the following food items should the nurse instruct the parent to provide to the infant?
Correct Answer: B
Rationale: The correct answer is B: Oral electrolyte solution. Infants are at risk of dehydration, especially during illnesses like diarrhea. Oral electrolyte solution helps replace lost fluids and electrolytes. White grape juice (
A) and applesauce (
D) may worsen diarrhea due to their high sugar content. Chicken soup (
C) is nutritious but may not provide the necessary electrolytes. Providing a detailed rationale helps guide the parent in making the best choice for the infant's health.
Extract:
Question 2 of 5
A nurse is caring for a child who has sickle cell anemia. Which of the following findings is the priority for the nurse to report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Facial twitching. This finding is concerning as it may indicate a neurological complication, such as a stroke, which can be life-threatening in sickle cell anemia. The nurse should report this immediately for further evaluation and intervention. Kyphosis (
B), constipation (
C), and enuresis (
D) are common issues in sickle cell anemia but are not immediate priorities compared to potential neurological complications.
Extract:
Nurses' Notes (0700 hrs): 7-year-old client who weighs 18.1 kg (39.9 lb) admitted with a UTI. Child reports pain and burning upon urination and feeling like they need to go to the bathroom all the time. Child's guardian reports the client has been incontinent of urine the past 2 nights and that the urine has a very strong odor. The child appears uncomfortable and is frequently shifting positions in bed. The client has been crying intermittently and is reluctant to drink fluids. The guardian mentions that the child has been more irritable and has a decreased appetite. The child has a history of recurrent UTIs, with the last episode occurring 6 months ago; Vital Signs (0715 hrs): Heart rate: 80/min, Temperature: 38°C (100.4°F), Respiratory rate: 22/min, Blood pressure: 106/65 mm Hg; A nurse is caring for a 7-year-old child who has a urinary tract infection (UTI) in the pediatric unit.
Question 3 of 5
For each of the following interventions, click to specify if the potential intervention is anticipated or contraindicated for the client.
| Finding | Anticipated | Contraindicated |
|---|---|---|
| Advise child's guardian about the use of sunscreen | ||
| Educate the child about proper perineal hygiene | ||
| Administer salicylic acid for pain and fever | ||
| Ensure the child receives a maximum of 1,200 mL/day of fluid | ||
| Administer sulfamethoxazole and trimethoprim |
Correct Answer: B,E
Rationale: [1, 0, 0, 0, 1]
The correct answer is B,E. For the intervention "Educate the child about proper perineal hygiene" , it is anticipated as it promotes personal hygiene. Administering sulfamethoxazole and trimethoprim (E) is also anticipated as it is a common antibiotic for various infections. Advising about sunscreen (
A) is not relevant to the given scenario. Administering salicylic acid (
C) is contraindicated due to its potential side effects in children. Ensuring fluid intake (
D) is not specified in the context provided.
Extract:
Question 4 of 5
A nurse is preparing to administer an IM injection to a 3-year-old child. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: You can choose which leg you get your medicine in. This statement empowers the child by giving them a sense of control over the situation, promoting cooperation and reducing anxiety. It is important to involve children in decision-making whenever possible to help them feel more comfortable during procedures.
Choices B, C, and D are incorrect because they do not address the child's need for autonomy and may not effectively prepare the child for the injection.
Choice B offers a reward for not crying, which can create a negative association with the injection.
Choice C minimizes the potential discomfort of the injection, which may not be accurate for every child.
Choice D oversimplifies the purpose of the medication and may not provide a clear understanding for the child.
Extract:
A nurse is caring for a client.
Question 5 of 5
Which action demonstrates effective collaboration?
Correct Answer: B
Rationale: Effective collaboration involves seeking input and guidance from other healthcare professionals. Choosing option B, seeking guidance from the wound care nurse, is the correct answer as it demonstrates teamwork and utilizing the expertise of specialized colleagues for the best outcome. This action promotes effective communication, shared decision-making, and ensures that the dressing change is done correctly based on the nurse's expertise. Options A, C, and D are incorrect as they do not involve collaboration or seeking appropriate help from a qualified healthcare professional, which could lead to suboptimal patient care.