ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
A nurse in a school-based health center is educating a group of adolescents about prevention and treatment of sexually transmitted infections (STIs).
Question 1 of 5
Which of the following information should the nurse include in the teaching?
Correct Answer: C
Rationale: Abstinence prevents STIs. Adolescents have higher STI risk. Prompt treatment prevents complications like infertility. One partner doesn't eliminate risk if they're infected.
Extract:
A nurse is providing teaching to the parent of a 10-month-old infant who is having difficulty eating. The parent is feeding their infant goat milk.
Question 2 of 5
Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Formula meets infant nutritional needs safely. Soy milk lacks adequate nutrients for infants. Reinitiating breastfeeding may not be feasible. Warming goat milk doesn't address its nutritional deficiencies.
Extract:
Nurse's Notes (0700hrs): The child is a 7-year-old male admitted with a history of chronic respiratory issues. The child presents with a persistent cough producing thick, greenish sputum. The mother reports that the child has had difficulty gaining weight despite a good appetite. The child appears fatigued and has been experiencing frequent respiratory infections. The child is currently on oxygen therapy at 2 liters per minute via nasal cannula. The mother also mentions that the child has large, greasy stools and frequent abdominal pain. The child is alert but appears tired and is cooperative during the examination; Physical Examination Results (0700hrs): The child has a barrel-shaped chest and clubbing of the fingers. Breath sounds are diminished bilaterally with crackles and wheezes noted throughout all lung fields. The abdomen is distended with hyperactive bowel sounds. The skin is dry with poor turgor, and there are multiple bruises on the lower extremities. The child has a thin, frail appearance with visible ribs and muscle wasting. The child's lips are slightly cyanotic, and there is nasal flaring observed during respiration. The child's extremities are cool to the touch; Vital Signs (0700hrs): Temperature: 38.2°C (100.8°F), Heart rate: 110/min, Respiratory rate: 32/min, Blood pressure: 95/60 mm Hg, Oxygen saturation: 92% on 2L O2 via nasal cannula; A nurse is caring for a school-age child in the pediatric unit.
Question 3 of 5
Correct Answer: D
Rationale: Increasing the oxygen flow rate to 4 liters per minute may improve oxygenation temporarily, but it does not address the underlying cause of the child's respiratory distress. Additionally, increasing oxygen flow without a provider's order can be unsafe. Administering a bronchodilator as prescribed can help relieve bronchospasm and improve airflow. However, it is essential to notify the provider first to ensure that the bronchodilator is appropriate for the child's current condition. Encouraging the child to drink more fluids is important for hydration, especially if the child has a fever and dry skin. However, it is not the most immediate action needed to address the child's respiratory distress. Notifying the provider of the child's condition is the correct answer. The child is showing signs of respiratory distress, including nasal flaring, cyanosis, and increased respiratory rate. Promptly informing the provider ensures that appropriate medical interventions can be initiated to stabilize the child's condition.
Extract:
A nurse is assessing a 7-year-old child who has diabetes mellitus.
Question 4 of 5
Which of the following findings should the nurse identify as a manifestation of hypoglycemia?
Correct Answer: D
Rationale: Increased capillary refill suggests poor circulation, not hypoglycemia. Decreased appetite is not typical; hypoglycemia often increases hunger. Thirst is linked to hyperglycemia. Shakiness results from adrenaline release during low blood sugar, a hallmark of hypoglycemia.
Extract:
A nurse is obtaining informed consent for an adolescent who is scheduled for a cardiac catheterization. The adolescent's guardian states, "I don't understand why they need to do this procedure."
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Nurses clarify basics, but providers explain procedures fully. Witnessing signatures doesn't address confusion. Anesthesiologists aren't responsible for procedure details. Notifying the provider ensures proper informed consent.