ATI RN
ATI RN Pediatrics Nursing 2023 I Questions
Extract:
A nurse is teaching the parent of an infant about car seat safety.
Question 1 of 5
Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Keep the car seat in a rear-facing position until your infant is 2 years old. This instruction is crucial for infant safety as rear-facing car seats provide the best protection in case of a crash, especially for infants under 2 years old. It helps to support the infant's head, neck, and spine alignment, reducing the risk of injury.
Choices B, C, and D are incorrect. B is unsafe as the harness should be fastened snugly against the infant's body without any bulky clothing like a winter coat. C is incorrect as airbags can pose a serious threat to infants and should be deactivated if the car seat is placed in the front passenger seat. D is also wrong as padding the backrest with a thick blanket can compromise the effectiveness of the car seat in a crash.
Extract:
A nurse is caring for a preschooler who has a gastrostomy tube.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Use barrier ointments around the site. This is the appropriate action to prevent skin breakdown and irritation around the tube site. Barrier ointments create a protective layer between the skin and the tube, reducing friction and moisture-related skin damage.
Choice B is incorrect as hydrogen peroxide can be too harsh and may cause further skin irritation.
Choice C is incorrect as maintaining tension can lead to pressure ulcers.
Choice D is incorrect as transparent dressings may not provide adequate protection from friction and moisture.
Extract:
Provider Prescriptions Day 1, 1020: Admit directly to pediatric unit, Keep child NPO, Obtain comprehensive metabolic panel and blood cultures STAT, Vital signs every 30 min, then every hr x 4, then every 4 hr; Diagnostic Results Day 1, 1040: Potassium 3.8 mEq/L (3.4 to 4.7 mEq/L), Hemoglobin 9.5 g/dL (10 to 15.5 g/dL), Hematocrit 30% (32% to 44%), RBC count 4.2 x 106/μL (4.0 to 5.5 x 10/μL), WBC count 14,000 mm3 (5,000 to 10,000 mm3), Platelets 350,000/mm3 (150,000 to 400,000/mm3), Glucose 90 mg/dL (< 200 mg/dL), Blood cultures pending
Question 3 of 5
A nurse is admitting an 8-year-old child to the pediatric unit. A nurse is reviewing the child's electronic medical record (EMR). Which of the following findings should the nurse identify as requiring immediate follow-up? Select the 5 findings.
Correct Answer: A,B,D,E,F
Rationale: The correct answer is A, B, D, E, and F. These findings are crucial for immediate follow-up due to their significance in assessing the child's overall health status and potential complications.
A: Neurologic assessment is vital to detect any neurological deficits or changes.
B: Hemoglobin level can indicate anemia or other blood disorders.
D: White blood cell count (WB
C) helps in identifying infection or inflammation.
E: Temperature abnormalities suggest infection or other serious conditions.
F: Abdominal assessment is necessary to detect any gastrointestinal issues.
Choices C and G are not as urgent as they do not directly indicate potential life-threatening conditions requiring immediate intervention.
Extract:
A nurse is providing teaching about home care to a parent of a 3-year-old child who has a fever.
Question 4 of 5
Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Apply a light blanket if the child begins to shiver. This instruction is appropriate as shivering indicates the child is cold, and using a light blanket can help regulate their body temperature. B is incorrect as waking a child every 4 hours to drink apple juice may disrupt their sleep cycle. C is incorrect because taking the child's temperature every 10 minutes after acetaminophen administration is excessive and not necessary. D is incorrect as placing ice packs on the child's armpits and groin can lead to hypothermia and should not be done.
Extract:
A nurse is providing preoperative teaching for a 9-year-old child who is scheduled for a tonsillectomy.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A because using simple diagrams helps enhance understanding, especially for visual learners. It aids in clear communication and comprehension of the procedure.
Choice B, indicating on a stuffed animal, only provides a vague representation.
Choice C, providing teaching immediately before, may not allow enough time for processing.
Choice D, discussing benefits, is important but not the immediate action needed for clarity.