ATI RN
ATI RN Pediatric Nursing 2023 Questions
Extract:
A nurse is providing discharge teaching to the guardian of a child who has cystic fibrosis.
Question 1 of 5
Which of the following statements by the guardian indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A because it demonstrates understanding of the teaching about cystic fibrosis management. A high-calorie diet is crucial for individuals with cystic fibrosis to maintain a healthy weight and adequate nutrition.
Choice B is incorrect as annual sweat chloride testing is not related to dietary management.
Choice C is incorrect as pancrelipase medication should be swallowed whole with meals, not chewed.
Choice D is incorrect as dornase alfa is not used for wheezing but for mucus clearance in cystic fibrosis.
Extract:
A nurse in the emergency department is caring for an adolescent who is requesting testing for STIs.
Question 2 of 5
Which of the following actions is appropriate for the nurse to take?
Correct Answer: A
Rationale: The correct answer is A: Obtain written consent from the client. This is appropriate because written consent ensures that the client fully understands and agrees to the procedure or treatment. It also serves as a legal document to protect both the client and the nurse. Verbal consent (choice
B) may not be sufficient or easily documented. Contacting the client's parents (choice
C) may not be necessary if the client is competent to give consent. Postponing testing (choice
D) could delay necessary care.
Extract:
A nurse is caring for a 6-month-old infant who has gastroenteritis.
Question 3 of 5
Which of the following findings should the nurse identify as a manifestation of severe dehydration?
Correct Answer: B
Rationale: The correct answer is B: Sunken anterior fontanel. This finding indicates severe dehydration in infants due to decreased fluid volume in the body, causing the fontanel to appear sunken. Capillary refill time of 3 seconds (choice
A) is within normal limits. Weight loss of 5% (choice
C) can be seen in mild to moderate dehydration. Producing tears when crying (choice
D) is not a reliable indicator of hydration status.
Extract:
A nurse is performing a cranial nerve assessment on a school-age child.
Question 4 of 5
Which of the following findings indicates proper functioning of the child's trigeminal nerve?
Correct Answer: D
Rationale: The correct answer is D: The child has symmetrical jaw strength when biting down. Proper functioning of the trigeminal nerve, which controls the muscles of mastication, is indicated by symmetrical jaw strength when biting down. This nerve innervates the muscles responsible for chewing. The other choices are incorrect because: A: Maintaining balance with eyes closed involves the vestibular system, not the trigeminal nerve. B: The gag reflex is controlled by the glossopharyngeal and vagus nerves, not the trigeminal nerve. C: Identifying scents is associated with the olfactory nerve, not the trigeminal nerve.
Extract:
A nurse is assessing a child for scabies.
Question 5 of 5
Which of the following findings should the nurse identify as a manifestation of scabies?
Correct Answer: D
Rationale: The correct answer is D: Maculopapular skin burrows on the hand. Scabies is caused by a tiny mite that burrows into the skin, leading to the formation of characteristic burrows, which are tiny, raised, grayish-white or skin-colored lines on the skin. These burrows are most commonly found between the fingers, on the wrists, elbows, and genitals. Scaly lesions on the inner thighs (
A) are more indicative of other skin conditions like eczema or psoriasis. Rash with red macular lesions on the scalp (
B) is more suggestive of conditions like seborrheic dermatitis or psoriasis. Bull's eye edematous area on the groin (
C) is more likely associated with conditions like Lyme disease or ringworm.
Therefore, the presence of maculopapular skin burrows on the hand (
D) is the most specific manifestation of scabies.