ATI RN
ATI Nur 307 Pediatrics Final Exam Questions
Extract:
A nurse in a special education program is planning care for a child who has autism spectrum disorder.
Question 1 of 5
Which of the following interventions should the nurse include in the plan of care?
Correct Answer: C
Rationale: The correct answer is C: Establish a reward system for positive behavior. This intervention promotes positive reinforcement, encouraging the child to exhibit desired behaviors. It helps in shaping behavior by associating it with a reward.
Choice A is incorrect as consistency in rules is essential for behavior modification.
Choice B may lead to inconsistency and lack of structure.
Choice D may not be safe without supervision.
Choices E, F, and G are irrelevant.
Extract:
A school nurse is assessing an adolescent who reports feeling shaky and is having difficulty speaking and concentrating. Blood glucose level is 55 mg/dL.
Question 2 of 5
Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Tachycardia. In dehydration, the body compensates by increasing heart rate to maintain adequate blood flow. Polyuria (
A) is a symptom of diabetes, not dehydration. Dry, flushed skin (
B) is seen in heat exhaustion. Deep, rapid respirations (
C) occur in diabetic ketoacidosis.
Therefore, tachycardia is the expected finding in dehydration.
Extract:
A nurse is caring for a 17-year-old client who is experiencing a relapse of leukemia and is refusing treatment.
Question 3 of 5
Which of the following nursing actions is appropriate at this time?
Correct Answer: A
Rationale: The correct answer is A - Notify the charge nurse of the situation. This is appropriate as it follows the chain of command in nursing practice. The charge nurse is responsible for overseeing patient care and can provide guidance or intervene as needed. Option B may address symptoms but does not address the underlying issue. Option C should not be done without proper assessment. Option D requires further assessment and physician's order.
Extract:
The parents report the 7-year-old awoke with a tympanic temperature of 39.2°C, sore throat, drooling, and difficulty swallowing.
Question 4 of 5
Which of the following actions is the nurse's priority?
Correct Answer: C
Rationale: The correct answer is C: Prepare for intubation. This is the nurse's priority because it addresses the most critical and life-threatening issue first, which is ensuring the patient's airway is secure and adequate oxygenation is maintained. Intubation may be necessary to protect the patient's airway in cases of respiratory distress or failure. Administering an antipyretic (
B) may be important for fever management but is not as urgent as ensuring the airway. Obtaining culture specimens (
A) and inserting an IV catheter (
D) are important tasks but are not as time-sensitive as preparing for intubation.
Extract:
A parent calls the pediatric clinic to report that her child has a bloody nose.
Question 5 of 5
The nurse should give which of the following instructions to stop the bleeding?
Correct Answer: A
Rationale: The correct answer is A. Having the child sit with her head tilted forward and holding pressure on her nose for 10 minutes helps to stop nosebleeds by applying direct pressure to the bleeding vessel. This position prevents blood from flowing backward into the throat and reduces the risk of swallowing blood.
Choice B is incorrect as applying ice can cause vasoconstriction and delay clotting.
Choices C and D are also incorrect as they can lead to blood flowing back into the throat and potentially cause aspiration.