ATI RN
ATI RN Pediatric Nursing 2023 Questions
Extract:
A nurse is teaching home care to the parents of a preschool-age child who has heart failure.
Question 1 of 5
Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale:
Correct
Answer: A. Provide for periods of rest.
Rationale: Rest is essential for children with cyanotic congenital heart disease to conserve energy and reduce oxygen demand on the heart. This can help prevent episodes of cyanosis and reduce the risk of complications. Providing periods of rest allows the child to recover from physical exertion and helps maintain stable oxygen levels.
Incorrect
Choices:
B. Increasing oxygen flow rate until the child no longer has cyanosis is not appropriate as it can lead to oxygen toxicity and potential harm to the child.
C. Withholding digoxin if the child's pulse is greater than 100/min is incorrect as digoxin is typically indicated for heart conditions and should not be withheld based solely on heart rate.
D. Weighing the child once each month is not directly related to managing cyanotic congenital heart disease and may not be as crucial as providing periods of rest.
Extract:
A nurse is providing teaching to a 15-year-old adolescent about a medication used to treat a sexually transmitted infection.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D because asking how the client prefers to learn new information promotes individualized teaching. By understanding the client's preferred learning style, the nurse can tailor education to enhance understanding and retention. Option A is incorrect as the nurse should directly educate the client. Option B involves a third party (parent) unnecessarily. Option C does not address individual learning needs. Options E, F, and G are not provided, hence not relevant.
Extract:
A nurse is assessing a 5-month-old infant.
Question 3 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Exhibits head lag when pulled to a sitting position. This finding indicates a developmental delay in neck muscle strength and control, which could be a sign of a neurological or musculoskeletal issue. The nurse should report this to the provider for further evaluation and intervention.
Choices A, C, and D are typical developmental milestones for infants that may vary in timing but are not necessarily concerning if delayed. Reporting them may lead to unnecessary interventions.
Extract:
A nurse is caring for a school-age child who is having a tonic-clonic seizure.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct action for the nurse to take is to time the episode (
Choice
D). Timing the episode is essential in assessing the duration and severity of the situation, providing crucial information for further intervention. Administering chlorothiazide (
Choice
A) without proper assessment can be harmful. Holding the child down (
Choice
B) can escalate the situation and cause distress. Placing the child in a prone position (
Choice
C) may compromise airway and breathing.
Therefore, timing the episode (
Choice
D) is the most appropriate initial action for the nurse to take.
Extract:
A nurse is providing discharge teaching to the guardian of a child who has cystic fibrosis.
Question 5 of 5
Which of the following statements by the guardian indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A because it demonstrates understanding of the teaching about cystic fibrosis management. A high-calorie diet is crucial for individuals with cystic fibrosis to maintain a healthy weight and adequate nutrition.
Choice B is incorrect as annual sweat chloride testing is not related to dietary management.
Choice C is incorrect as pancrelipase medication should be swallowed whole with meals, not chewed.
Choice D is incorrect as dornase alfa is not used for wheezing but for mucus clearance in cystic fibrosis.