ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
A nurse is providing teaching to the parent of a 10-month-old infant who is having difficulty eating. The parent is feeding their infant goat milk.
Question 1 of 5
Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Offer commercially prepared formula. This is the most appropriate choice as it ensures the infant receives proper nutrition and avoids potential risks associated with other options.
Choice B (Switch to soy milk) is not recommended for infants due to potential allergies.
Choice C (Reinitiate breastfeeding) may not be feasible or safe for all mothers.
Choice D (Warm goat's milk before feeding) is not recommended as goat's milk lacks essential nutrients for infants. Overall, option A is the safest and most suitable choice for infant nutrition.
Extract:
A nurse is caring for a child who has sickle cell anemia.
Question 2 of 5
Which of the following findings is the priority for the nurse to report to the provider?
Correct Answer: C
Rationale: The correct answer is C: Facial twitching. This finding is a potential sign of a neurological issue that may require immediate attention, such as a seizure or stroke. Enuresis, kyphosis, and constipation are important but not urgent concerns that can be addressed in a timely manner. Enuresis may indicate a urinary issue, kyphosis a spinal problem, and constipation a gastrointestinal issue. However, facial twitching suggests a more acute neurological issue that needs immediate assessment to prevent further complications.
Extract:
History and Physical: School-age child admitted, diagnosed with cystic fibrosis at 3 months of age, has experienced failure to thrive, and has chronic obstructive pulmonary disease. The child presents with wheezing, rhonchi, paroxysmal cough, and dyspnea. The parent reports large, frothy, foul-smelling stools. The child has deficient levels of vitamin A, D, E, and K. Barrel-shaped chest, Clubbing of the fingers bilaterally, Respiratory rate 40/min with wheezing and rhonchi noted bilaterally, dyspnea, and paroxysmal cough. Vital Signs: Temperature 38.4° C (101.1° F), Heart rate 100/min, Respiratory rate 40/min, Blood pressure 100/57 mm Hg. Laboratory Results: Sputum culture positive for Pseudomonas aeruginosa, Stool analysis positive for presence of fat and enzymes, Chest x-ray indicates obstructive emphysema, WBC count 20,000/mm3 (5,000 to 10,000/mm3).
Question 3 of 5
A nurse is reviewing the child's medical record. Which of the following medications should the nurse expect the provider to prescribe or reconcile from the child's home medication list? Select all that apply.
Correct Answer: B,D,E
Rationale: The correct answers are B (Dornase alfa), D (Water-soluble vitamins), and E (Pancreatic lipase). Dornase alfa is used in cystic fibrosis, water-soluble vitamins are commonly prescribed for children for overall health, and pancreatic lipase is used in pancreatic insufficiency. Meperidine is not typically prescribed for children due to safety concerns. Acetaminophen is a common over-the-counter medication that may or may not be on the home medication list. The nurse should not expect the provider to prescribe or reconcile meperidine, acetaminophen, or other unspecified medications from the list.
Extract:
A nurse is providing discharge teaching to a parent of a child who has juvenile idiopathic arthritis and a new prescription for prednisone.
Question 4 of 5
Which of the following statements should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Monitor your child for indications of infection. This statement is important because certain medications may weaken the immune system, increasing the risk of infections. Monitoring for signs of infection allows for early detection and treatment.
Choice B is incorrect because limiting potassium-rich foods is not typically necessary with this medication.
Choice C is incorrect as this medication does not typically stimulate a growth spurt.
Choice D is incorrect because discontinuing the medication without consulting a healthcare provider can be harmful.
Extract:
A nurse is providing teaching to a parent of a child who has HIV.
Question 5 of 5
Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I will ensure that my child is tested for tuberculosis every year." This statement indicates understanding of teaching because it shows the parent's awareness of the importance of regular testing for tuberculosis due to the child's condition. Testing for tuberculosis is crucial for early detection and treatment in immunocompromised individuals.
Choice A is incorrect because childhood immunizations do not need to be repeated once in remission.
Choice B is incorrect because the risk of transmission of HIV is not solely dependent on being on zidovudine for 2 weeks.
Choice D is incorrect because doubling medications without proper guidance can be harmful.