ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
A nurse is caring for a 1-year-old child who has been hospitalized.
Question 1 of 5
Which of the following items in the child's room is a common source of health care-associated infection?
Correct Answer: D
Rationale: The correct answer is D: Bedside computer keyboard. This is because items such as computer keyboards in a child's room can harbor harmful bacteria and viruses that can be transmitted to the child, caregivers, or healthcare providers, leading to healthcare-associated infections. Keyboards are frequently touched and are often overlooked when it comes to cleaning and disinfection, making them a common source of infections. The other choices (A, B, and
C) are less likely to be sources of healthcare-associated infections in a child's room as disposable diapers, protective gowns, and unopened formula bottles are typically designed to maintain hygiene and are not directly involved in transmitting infections like a contaminated keyboard.
Extract:
Question 2 of 5
A nurse is teaching the guardian of a newborn about how to prepare their 3-year-old child to meet their new sibling. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: The correct answer is C: Provide a doll for your 3-year-old child to imitate parental behaviors.
Rationale:
1. Providing a doll allows the child to practice parental behaviors, fostering a sense of involvement and responsibility.
2. Role-playing with a doll can help the child understand the concept of caregiving and prepare them for the arrival of the new sibling.
3. It promotes a positive and interactive way for the child to learn about caring for a baby and adjusting to the new family dynamic.
Other
Choices:
A: Incorrect. Telling the child they will have a new playmate may not adequately prepare them for the responsibilities and changes that come with a new sibling.
B: Incorrect. Preparing the child for changes in all routines may cause unnecessary anxiety and may not be specific to the sibling arrival.
D: Incorrect. Waiting for the newborn to arrive before transitioning the 3-year-old to a bed is unrelated to preparing the child for the new sibling.
Extract:
A nurse is teaching a child who has asthma about using a metered-dose inhaler with a mouthpiece.
Question 3 of 5
Identify the sequence of steps the nurse should instruct the child to take.
Order the Items
Source Container
Correct Answer: A,C,B,D
Rationale: The correct order is A, C, B, D. First, the child should depress the canister while inhaling slowly (
A) to ensure proper medication delivery. Holding the breath for 10 seconds (
C) allows for optimal absorption. Removing the inhaler from the mouth (
B) prevents further inhalation. Finally, exhaling slowly through the nose (
D) helps in maintaining the medication in the respiratory tract. Other choices are incorrect as they do not follow the logical sequence required for effective inhaler use.
Extract:
A nurse is caring for a 1-week-old newborn who has hyperbilirubinemia and is being treated with phototherapy.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action for the nurse to take is to monitor the newborn's temperature every 2 hours. This is crucial in assessing the newborn's thermoregulation, a critical aspect of neonatal care. Monitoring temperature every 2 hours allows for early detection of any signs of hypothermia or hyperthermia, enabling prompt interventions to maintain the newborn's thermal stability. Checking the newborn's eyes every 8 hours (
A) is not a priority in immediate newborn care. Placing mittens on the newborn's hands (
B) is not necessary unless the newborn is scratching themselves. Applying lotion to the newborn's skin (
D) may not be recommended immediately after birth due to the risk of skin irritation.
Extract:
Nurse's Notes (0700hrs): The child is a 7-year-old male admitted with a history of chronic respiratory issues. The child presents with a persistent cough producing thick, greenish sputum. The mother reports that the child has had difficulty gaining weight despite a good appetite. The child appears fatigued and has been experiencing frequent respiratory infections. The child is currently on oxygen therapy at 2 liters per minute via nasal cannula. The mother also mentions that the child has large, greasy stools and frequent abdominal pain. The child is alert but appears tired and is cooperative during the examination; Physical Examination Results (0700hrs): The child has a barrel-shaped chest and clubbing of the fingers. Breath sounds are diminished bilaterally with crackles and wheezes noted throughout all lung fields. The abdomen is distended with hyperactive bowel sounds. The skin is dry with poor turgor, and there are multiple bruises on the lower extremities. The child has a thin, frail appearance with visible ribs and muscle wasting. The child's lips are slightly cyanotic, and there is nasal flaring observed during respiration. The child's extremities are cool to the touch; Vital Signs (0700hrs): Temperature: 38.2°C (100.8°F), Heart rate: 110/min, Respiratory rate: 32/min, Blood pressure: 95/60 mm Hg, Oxygen saturation: 92% on 2L O2 via nasal cannula; A nurse is caring for a school-age child in the pediatric unit.
Question 5 of 5
Correct Answer: D
Rationale: The correct answer is D: Notify the provider of the child's condition. This is the correct choice because it is crucial to communicate the child's worsening condition to the healthcare provider for further assessment and management. Increasing oxygen flow rate (
A) may be necessary but should be done under the provider's guidance. Administering a bronchodilator (
B) is important if prescribed, but notifying the provider takes precedence in this situation. Encouraging the child to drink more fluids (
C) may be helpful for respiratory conditions, but it does not address the urgency of the situation.