ATI RN
ATI RN Pediatrics Nursing 2023 I Questions
Extract:
A nurse is providing teaching to the guardian of an infant who has heart failure.
Question 1 of 5
Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Minimize the infant's environmental stimuli. This instruction is crucial for promoting infant sleep hygiene and reducing overstimulation. Excessive stimuli can disrupt the infant's sleep patterns, leading to sleep disturbances and irritability. By minimizing environmental stimuli, the infant is more likely to achieve restful sleep, which is essential for their growth and development.
Choice A (Place the infant in a supine position) is a safe sleep practice to reduce the risk of sudden infant death syndrome (SIDS), but it is not directly related to promoting sleep hygiene.
Choice B (Allow the infant to sleep through night feedings) is not recommended as infants often need to be fed during the night for proper nourishment and growth.
Choice D (Bathe the infant every day) is not necessary and can actually dry out the infant's skin, leading to irritation.
Extract:
A nurse is assessing a school-age child who is receiving cefazolin.
Question 2 of 5
For which of the following adverse effects should the nurse monitor?
Correct Answer: A
Rationale: The correct answer is A: Nausea. Nurses should monitor for nausea as it is a common adverse effect of many medications and can impact a patient's well-being. Nausea can lead to decreased oral intake and affect medication adherence. Constipation (
B) and increased appetite (
D) are not typically considered adverse effects that nurses need to monitor. Hypertension (
C) may be monitored for certain medications, but it is not a general adverse effect to monitor for all patients.
Extract:
A nurse is admitting a school-age child who has osteomyelitis.
Question 3 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The nurse should first obtain a blood culture because it is crucial in identifying the causative organism in a suspected infection. This step helps guide appropriate antibiotic therapy promptly. Requesting a referral for physical therapy, administering IV antibiotics, and recording intake and output are important interventions, but obtaining a blood culture takes precedence in cases of suspected infection to ensure accurate and timely treatment.
Extract:
A nurse is providing teaching to the guardian of a toddler who has scabies.
Question 4 of 5
Which of the following statements should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C because it addresses the importance of treating close contacts to prevent the spread of contagious diseases like scabies. This statement emphasizes the need for comprehensive treatment to eradicate the infestation completely.
Choice A focuses on treatment for the child, but does not address the potential spread to others.
Choice B is incorrect as scabies is primarily spread through direct skin-to-skin contact, so cleaning the entire home is unnecessary.
Choice D is related to managing scabies on clothing and linens, but it does not address the crucial aspect of treating close contacts.
Extract:
A nurse is assessing an infant who has congestive heart failure.
Question 5 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.