ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
A nurse is planning care for a child who has a prescription to transfuse 2 units of packed RBCs.
Question 1 of 5
Which of the following interventions should the nurse include in the plan of care?
Correct Answer: B
Rationale: The correct answer is B: Infuse each unit of blood within 4 hr. This is crucial to prevent bacterial contamination and ensure blood product integrity. Storing blood at room temperature for too long (
A) can promote bacterial growth. Administering RBCs with non-filtered IV tubing (
C) can lead to potential infusion reactions due to the presence of microaggregates. Infusing dextrose 5% in water during packed RBC infusion (
D) can cause hemolysis due to the low osmolarity of the solution.
Extract:
Question 2 of 5
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. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Offer commercially prepared formula. Goat's milk is not recommended for infants under 1 year old due to inadequate nutrients and high protein content. Commercially prepared formula is specifically designed to meet the nutritional needs of infants. Switching to soy milk (
B) is not recommended due to potential allergies. Warming goat's milk (
C) does not address the nutritional deficiencies. Reinitiating breastfeeding (
D) may not be feasible or desired by the parent.
Question 3 of 5
A nurse is caring for a toddler who has impetigo. Which of the following actions by the nurse indicates an understanding of how impetigo is spread?
Correct Answer: B
Rationale: The correct answer is B: Wearing gloves when assessing the toddler. Impetigo is primarily spread through direct contact with the infected skin or items contaminated with the bacteria. Wearing gloves during assessment prevents the nurse from coming into direct contact with the lesions, reducing the risk of spreading the infection.
A: Initiating droplet precautions is not necessary for impetigo as it is not transmitted through respiratory droplets.
C: Placing the toddler in a negative airflow room is not required for impetigo, as it is not an airborne infection.
D: Providing a protective environment is a broad term and does not specifically address the mode of transmission of impetigo.
Extract:
A nurse is providing teaching to a parent of a child who has HIV.
Question 4 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.
Extract:
A nurse is assessing a 4-month-old infant during a well-baby visit.
Question 5 of 5
For which of the following findings should the nurse notify the provider?
Correct Answer: A
Rationale: The correct answer is A: Doll's eye reflex intact. This finding is abnormal in adults and may indicate brainstem dysfunction. The nurse should notify the provider immediately for further evaluation and intervention.
Choice B is incorrect because no head lag when pulled to a sitting position is a normal finding in infants.
Choice C is incorrect because the presence of tears when crying is a normal physiological response.
Choice D is incorrect because a positive Babinski reflex is normal in infants but abnormal in adults.