ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
A nurse is teaching the parent of an infant who has a new diagnosis of heart failure about nutrition.
Question 1 of 5
Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Implement a 3-hour feeding schedule. This instruction is important for establishing a routine and ensuring the infant receives adequate nutrition. Feeding on a schedule helps regulate the infant's intake and can prevent overfeeding or underfeeding. It also helps in monitoring the infant's growth and development.
Choice A is incorrect because placing the infant in a recumbent position during feeding can increase the risk of choking.
Choice B is incorrect as infants should be fed on cue rather than on a strict time limit like 45 minutes.
Choice C is incorrect as allowing the infant to cry before feeding can lead to unnecessary distress and is not recommended.
In summary, option D is the correct choice as it promotes a structured feeding routine that is beneficial for the infant's health and development, while the other options may have negative implications or are not evidence-based practices for infant feeding.
Extract:
A nurse is planning postoperative care for an adolescent following scoliosis repair with spinal instrumentation.
Question 2 of 5
Which of the following actions should the nurse include in the plan of care?
Correct Answer: B
Rationale: The correct answer is B: Ensure two nurses logroll the adolescent every 2 hours. This is essential post-surgery to prevent complications such as pressure ulcers and maintain proper body alignment. It ensures even distribution of pressure and reduces the risk of musculoskeletal injuries. Option A is incorrect as early ambulation may not be safe 12 hours post-surgery. Option C is not as crucial as logrolling for preventing complications. Option D is incorrect as oral intake should be cautiously initiated.
Extract:
Question 3 of 5
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.' Which of the following actions should the nurse take?
Correct Answer: B
Rationale:
Correct Answer: B. Notify the provider who is scheduled to perform the procedure.
Rationale: The nurse should notify the provider performing the procedure as they are the most qualified to explain the necessity of the cardiac catheterization and address any concerns or questions the guardian may have. The provider can provide detailed information about the procedure, potential risks, benefits, and alternatives, helping to ensure that the guardian understands the importance of the procedure for the adolescent's health.
Incorrect
Choices:
A: Requesting assistance from the anesthesiologist is not the most appropriate action as the anesthesiologist's role may not involve explaining the procedure itself.
C: While explaining the procedure to the adolescent and guardian is important, in this scenario, involving the provider directly is crucial to address the guardian's concerns.
D: Witnessing the adolescent's signature on the consent form is important but does not address the guardian's lack of understanding.
Question 4 of 5
A nurse is assessing a preschool-age child who is in the immediate postoperative period following a tonsillectomy. Which of the following assessment findings is the priority?
Correct Answer: C
Rationale: The correct answer is C: The child swallows frequently. This is the priority because frequent swallowing can indicate bleeding after a tonsillectomy, which is a medical emergency requiring immediate intervention to prevent complications like airway obstruction and hemorrhage. Refusing clear liquids (
A) may be due to discomfort but is not as urgent. Crying often (
B) is common post-surgery and not necessarily indicative of a critical issue. Throat pain increasing (
D) is expected after a tonsillectomy and can be managed with pain medication.
Question 5 of 5
A nurse is preparing to administer the influenza vaccine to a toddler. The prescription is written to administer the influenza vaccine subcutaneously. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Verifying a gelatin allergy is crucial, as some influenza vaccines contain gelatin as a stabilizer.