ATI RN
ATI RN Pediatrics Nursing 2023 I Questions
Extract:
A nurse is assessing the coping skills of the guardian of a child who has a terminal cancer.
Question 1 of 5
Which of the following statements by the guardian demonstrates positive adjustment?
Correct Answer: B
Rationale: The correct answer is B because the guardian is actively seeking information on a new treatment option, showing proactive behavior and a willingness to explore different options for the child's well-being. This demonstrates positive adjustment by taking steps to improve the child's health.
Incorrect choices:
A: This statement reflects guilt and self-blame, indicating negative adjustment.
C: Keeping the child's diagnosis from the family may hinder support and communication, indicating maladaptive behavior.
D: Expressing uncertainty about caring for a dying child suggests a lack of preparedness and coping skills, indicating negative adjustment.
Extract:
A nurse is caring for a preschooler who has a gastrostomy tube.
Question 2 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 caring for an adolescent who is scheduled for insertion of an intrauterine device.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Witness the adolescent's signature on the consent form. This is the appropriate action because it ensures that the adolescent has personally consented to the procedure. It is important for the nurse to witness the signature to confirm that the adolescent understands the procedure and its risks. This also upholds the principle of autonomy and informed consent.
A: Encouraging the adolescent to wait to ask questions is not appropriate as it may delay informed decision-making.
B: Calling the guardian for verbal consent is not sufficient for a procedure requiring formal written consent.
C: Rescheduling the procedure without written consent does not address the issue of obtaining proper consent.
Summary: Witnessing the adolescent's signature on the consent form is crucial for ensuring informed consent and respecting the adolescent's autonomy.
Extract:
A nurse is teaching a group of parents about expected gross motor skills for infants.
Question 4 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:
Flow Sheet Day 1, 1030: Temperature 38.7° C (101.7° F), Heart rate 114/min, Respiratory rate 26/min, Blood pressure 114/80 mm Hg, SpO2 97% on room air, Height 122 cm (48 in), Weight 29 kg (64 lb); Provider Prescriptions Day 1, 1020: Admit directly to pediatric unit, Keep child NPO, Obtain comprehensive metabolic panel and blood cultures STAT, Vital signs every 30 min, then every hr x 4, then every 4 hr; Diagnostic Results Day 1, 1040: Potassium 3.8 mEq/L (3.4 to 4.7 mEq/L), Hemoglobin 9.5 g/dL (10 to 15.5 g/dL), Hematocrit 30% (32% to 44%), RBC count 4.2 x 10°/μL (4.0 to 5.5 x 10/μL), WBC count 14,000 mm3 (5,000 to 10,000 mm3), Platelets 350,000/mm3 (150,000 to 400,000/mm3), Glucose 90 mg/dL (< 200 mg/dL), Blood cultures pending; Nurses' Notes Day 1, 1020: Child is a direct admit from a pediatric clinic with fever, chills, irritability for 2 days, prior URI 2 weeks ago, no prior conditions, fully immunized. 1030: Child reports nausea, headache (7/10), lethargic, nuchal rigidity, petechiae on face and trunk.
Question 5 of 5
A nurse is admitting an 8-year-old child to the pediatric unit. For each potential condition, click to specify if the child's assessment findings are consistent with Hodgkin Lymphoma, Bacterial Meningitis, or Acute Lymphoblastic Leukemia (ALL).
| Pain |
| Lymph nodes |
| Skin |
| Neurologic |
Correct Answer: A: Pain - Bacterial Meningitis, B: Lymph nodes - Hodgkin Lymphoma, C: Skin - Bacterial Meningitis & ALL, D: Neurologic - Bacterial Meningitis
Rationale:
To determine the correct assessment findings associated with each condition for the 8-year-old child, we need to consider the typical symptoms of Hodgkin Lymphoma, Bacterial Meningitis, and Acute Lymphoblastic Leukemia .
1. Pain (Correct for Bacterial Meningitis): Bacterial Meningitis often presents with symptoms such as severe headache and neck stiffness, which can be interpreted as pain.
2. Lymph nodes (Correct for Hodgkin Lymphoma): Hodgkin Lymphoma is characterized by the painless enlargement of lymph nodes, particularly in the neck, armpits, or groin.
3. Skin (Correct for Bacterial Meningitis & ALL): Skin findings like petechiae or purpura may indicate meningococcal meningitis or ALL, as both conditions can present with skin manifestations.
4. Neurologic (Correct for Bacterial Meningitis): Neurologic symptoms like altered mental status, seizures, or focal deficits are