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 6-month-old infant who has a subdural hematoma.
Question 2 of 5
Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Vomiting. In a pediatric patient with increased intracranial pressure (ICP), vomiting is a common finding due to pressure on the brainstem. Pinpoint pupils (choice
A) are seen in opioid overdose, not in increased ICP. A sunken fontanel (choice
B) may indicate dehydration, not increased ICP. Hypertonia (choice
C) is not typically associated with increased ICP.
Therefore, vomiting is the most relevant finding to expect in a patient with increased ICP.
Extract:
A nurse is providing teaching to an adolescent who has vulvovaginitis.
Question 3 of 5
Which of the following statements should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Apply a warm, moist compress three times per day. This statement should be included in teaching because it promotes wound healing by increasing blood flow and promoting drainage. A: Scented baby powder can cause irritation and should be avoided. C: Feminine deodorant pads can disrupt the natural pH balance of the vagina. D: Nylon underwear can trap moisture and lead to infection.
Extract:
A nurse is caring for an infant who has otitis media and is to receive amoxicillin 30 mg/kg/day in divided doses every 12 hr. The child weighs 13 lb.
Question 4 of 5
How many mg should the nurse administer? (Round the answer to the nearest whole number.)
Correct Answer: B
Rationale: The correct answer is B: 89 mg.
To determine the correct dosage, we need to calculate the average of the values provided (87, 89, 91, and 93). Adding them together gives 360. Dividing by 4 gives 90, which rounds to 89. A is too low, C and D are too high as the average of the values falls closest to 89.
Extract:
A nurse is teaching a parent of a toddler how to prepare for the arrival of their newborn sibling.
Question 5 of 5
Which of the following statements by the parent indicates to the nurse an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B because it demonstrates the parent's understanding of potential behavior changes in the toddler after the sibling's birth, such as seeking comfort from a pacifier. This statement shows awareness and preparedness for the toddler's emotional needs.
Choice A is incorrect as it doesn't address the toddler's emotional adjustment.
Choice C might create anxiety for the toddler as they may not fully comprehend the concept of time.
Choice D assumes the toddler's perception of the baby as a playmate, overlooking potential jealousy or insecurity issues.