ATI RN
ATI RN Pediatrics Nursing 2023 I Questions
Extract:
A nurse is teaching a parent of a 4-month-old infant who has developmental dysplasia of the hip and is prescribed a Pavlik harness.
Question 1 of 5
Which of the following instructions on the use of a Pavlik harness should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Place the diaper under the straps. Placing the diaper under the straps helps prevent skin irritation and chafing by creating a barrier between the straps and the baby's skin. This instruction promotes skin integrity and comfort for the infant.
Explanation for why the other choices are incorrect:
A: Avoid massaging the skin under the straps - Massaging the skin under the straps could cause discomfort and potentially disrupt the proper positioning of the harness.
B: Use lotion on the skin under the harness - Lotions can interfere with the harness's effectiveness and may cause slippage. It is best to avoid using lotions under the harness.
C: Adjust the harness straps weekly - The straps of the Pavlik harness need to be regularly adjusted as per the healthcare provider's instructions, not necessarily weekly.
Overall, choice D is the correct instruction for ensuring the safety and comfort of the infant while using the Pavlik harness.
Extract:
A nurse is providing teaching to a parent about sudden unexpected infant death (SUID).
Question 2 of 5
Which of the following statements should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Share a bedroom with your infant for the first 6 months. This recommendation follows safe sleep guidelines to reduce the risk of Sudden Infant Death Syndrome (SIDS). Having the infant nearby allows for easier monitoring and feeding during the night. It also promotes bonding and facilitates responsive caregiving.
Choice B is incorrect as soft crib mattresses increase the risk of suffocation.
Choice C is incorrect as nonflammable blankets are not a specific recommendation for safe sleep.
Choice D is incorrect as bumper pads pose a suffocation and entrapment hazard for infants.
Extract:
A nurse is preparing to insert a peripheral intravenous (IV) catheter for a preschooler.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action is C: Apply vapocoolant spray before the IV insertion. This helps numb the area, reducing pain during catheter placement. Asking the child to hold their breath (
A) is unnecessary and may cause anxiety. Explaining the procedure (
B) is important but does not directly impact pain management. Placing the IV in the dominant arm (
D) is not recommended as it may restrict movement post-insertion.
Extract:
A nurse is assessing an infant who has congestive heart failure.
Question 4 of 5
Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Tachypnea. In a patient experiencing pain or anxiety, tachypnea (increased respiratory rate) is a common finding due to the body's sympathetic response. This occurs as a result of increased levels of adrenaline and cortisol, leading to rapid breathing as the body prepares for "fight or flight." Increased urine output (
A) is not typically associated with pain or anxiety. Bradycardia (
B) and increased blood pressure (
C) are less likely findings in this situation, as the sympathetic response typically leads to increased heart rate and blood pressure.
Extract:
A nurse is reinforcing the provider's explanation about treatment options to the parents of a 1-month-old who has coarctation of the aorta.
Question 5 of 5
Which of the following statements should the nurse include?
Correct Answer: B
Rationale:
Step 1: Surgical repair is the recommended treatment for infants younger than 6 months old because it addresses the underlying issue causing the obstruction, ensuring proper functioning of the affected organ.
Step 2: Medication like indomethacin may be used in certain cases, but it is not the primary treatment for infants with this condition.
Step 3: Heart transplant is a drastic measure and not typically the first-line treatment for infants with obstruction issues.
Step 4: Most cases resolving spontaneously without treatment by 12 months is not a reliable approach as it may lead to complications and delays in appropriate management.
Summary:
Choice B is the correct answer as it aligns with the standard of care for infants with obstructions, while the other choices offer less effective or inappropriate treatment options.