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 assessing a child who has rubeola.
Question 2 of 5
Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Koplik spots. This finding is associated with measles, and the nurse should expect it in a patient with the disease. Koplik spots are small, white spots with a bluish-white center on the buccal mucosa opposite the molars. The presence of Koplik spots is pathognomonic for measles. Lymphadenopathy (choice
A) is not a specific finding related to measles. Steatorrhea (choice
B) is not associated with measles but rather with malabsorption syndromes. Paroxysmal coughing (choice
D) is more indicative of pertussis. In summary, Koplik spots are a key finding in measles, making choice C the correct answer.
Extract:
A nurse is caring for a child who is to receive the first dose of IV gentamicin.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Maintain strict I&O. This is essential to monitor the patient's fluid balance accurately, crucial in preventing complications such as dehydration or fluid overload. Monitoring intake and output helps assess renal function and fluid status.
Choices A, C, and D are incorrect. A - Monitoring for constipation is important but not the priority in this scenario. C - Initiating airborne precautions is not relevant to maintaining fluid balance. D - Encouraging bed rest is not appropriate without knowing the patient's condition, as some patients may need mobility for circulation and respiratory function.
Extract:
A nurse is caring for a preschooler who has a gastrostomy tube.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Use barrier ointments around the site. This is the appropriate action to prevent skin breakdown and irritation around the tube site. Barrier ointments create a protective layer between the skin and the tube, reducing friction and moisture-related skin damage.
Choice B is incorrect as hydrogen peroxide can be too harsh and may cause further skin irritation.
Choice C is incorrect as maintaining tension can lead to pressure ulcers.
Choice D is incorrect as transparent dressings may not provide adequate protection from friction and moisture.
Extract:
A nurse is providing preoperative teaching for a 9-year-old child who is scheduled for a tonsillectomy.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A because using simple diagrams helps enhance understanding, especially for visual learners. It aids in clear communication and comprehension of the procedure.
Choice B, indicating on a stuffed animal, only provides a vague representation.
Choice C, providing teaching immediately before, may not allow enough time for processing.
Choice D, discussing benefits, is important but not the immediate action needed for clarity.