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: Recumbent positioning risks aspiration. Long feedings cause fatigue. Crying increases metabolic demand, harmful in heart failure. A 3-hour schedule ensures regular nutrition without overexertion.
Extract:
A nurse is caring for a group of clients on a pediatric unit.
Question 2 of 5
Which of the following clients is most at risk for insufficient vascular perfusion?
Correct Answer: D
Rationale: UTIs, IV fluids, and otitis media don't typically impair perfusion. A spica cast risks vascular compression, leading to perfusion issues like compartment syndrome.
Extract:
A nurse is preparing to assess a 4-year-old child's visual acuity.
Question 3 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: The tumbling E chart suits children unable to read letters. Test with glasses if worn. Use 3 meters (10 feet), not 15. Test each eye separately first, then together for accuracy.
Extract:
A nurse is assessing a child who has measles.
Question 4 of 5
Which of the following areas should the nurse inspect for Koplik spots?
Correct Answer: A
Rationale: Koplik spots, bluish-white with a red halo, appear inside the cheeks in measles, not on the tongue, gums, or lips.
Extract:
Nurse's Notes (0700hrs): The adolescent is alert and oriented but appears distressed. Reports severe pain in the right side and lower back, rating it as 8/10. Hands and right knee are painful and swollen. The adolescent's parent reports a low-grade fever and vomiting for the past 3 days. The adolescent is lying in a fetal position, clutching their abdomen. Skin is warm and dry to touch. The adolescent is tearful and intermittently moaning in pain; Medical History: Diagnosed with sickle cell disease at age 2. History of multiple hospitalizations for vaso-occlusive crises. Last hospitalization was 6 months ago. No known drug allergies. Current medications include hydroxyurea and folic acid; Vital Signs (0700hrs): Temperature: 38.2°C (100.8°F), Heart rate: 110 beats per minute, Respiratory rate: 22 breaths per minute, Blood pressure: 130/80 mmHg, Oxygen saturation: 95% on room air; Physical Examination Results (0700hrs): Abdomen: Soft, non-distended, tender in the right lower quadrant. Musculoskeletal: Swelling and tenderness in the right knee and both hands. Neurological: Alert and oriented, no focal deficits. Skin: Warm, dry, no rashes or lesions; A nurse is caring for a 15-year-old adolescent who is admitted with a vaso-occlusive crisis in the emergency department.
Question 5 of 5
Select the 4 interventions the nurse should include.
Correct Answer: C,E,F,G
Rationale:
Choice A: Cold compresses worsen pain by causing vasoconstriction; warm compresses are better.
Choice B: Meperidine risks neurotoxicity; morphine is preferred.
Choice C: Folic acid supports red cell production in sickle cell disease.
Choice D: Hydration is key, not restriction.
Choice E: Hydroxyurea reduces crisis frequency.
Choice F: Continuous oxygen monitoring detects hypoxia.
Choice G: Bed rest lowers metabolic demand.
Choice H: Pneumococcal vaccine prevents infections, critical in sickle cell disease.