ATI RN
ATI RN Pediatrics Nursing 2023 I Questions
Extract:
A nurse is teaching a group of parents about expected gross motor skills for infants.
Question 1 of 5
Which of the following skills should the nurse include for a 2-month-old infant?
Correct Answer: A
Rationale: The correct answer is A: Lifts head 45° when lying prone. At 2 months, infants should have gained enough neck strength to lift their head to around 45° when placed on their stomach. This skill is crucial for building neck muscles and preparing for future milestones like sitting and crawling.
Choices B and D are incorrect as rolling over typically starts around 4-6 months.
Choice C is incorrect as head lag should disappear by 4 months.
Choices E, F, G are irrelevant.
Extract:
A nurse is performing a physical assessment for a 13-year-old adolescent.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A because having the child bend forward at the waist and checking for asymmetry of the scapula is a specific action related to assessing for scoliosis. This position helps in identifying any irregularities in the alignment of the spine. Option B is incorrect as auscultating the abdomen for bowel sounds is unrelated to the scenario. Option C, using the FACES scale, is more applicable for assessing pain intensity, not for assessing scoliosis. Option D, observing abdominal movement for respiratory rate, is also not relevant to the assessment of scoliosis.
Extract:
A nurse is teaching the parent of an infant about car seat safety.
Question 3 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 4 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 5 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.