ATI RN
ATI RN Pediatrics Nursing 2023 I Questions
Extract:
A nurse is providing teaching to the parents of a toddler who is exhibiting negativism during mealtimes.
Question 1 of 5
Which of the following statements by the nurse is appropriate?
Correct Answer: C
Rationale: The correct answer is C because it offers the patient a choice between two options, which promotes autonomy and respects her preferences. Option A doesn't offer a choice and may come off as imposing. Option B assumes the patient's preference without confirming. Option D dictates the choice without involving the patient. By providing a choice between two meal options, option C empowers the patient to make a decision based on her preferences and respects her autonomy.
Extract:
A nurse is caring for a preschooler who has a new diagnosis of celiac disease.
Question 2 of 5
Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Pale, oily stools. This finding is indicative of malabsorption, possibly due to conditions like celiac disease or pancreatic insufficiency. Redcurrant, jelly-like stools (choice
A) may suggest intussusception. Increased hemoglobin level (choice
B) is not directly related to stool appearance. Hematemesis (choice
D) refers to vomiting blood, not stool characteristics.
Extract:
A nurse is transporting a 12-year-old child in a wheelchair. The child begins to experience a tonic-clonic seizure.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct action for the nurse to take is D: Move the child to the floor. This is because moving the child to the floor ensures a safe environment in case of a fall or seizure. Inserting an oral airway (
A) may not be necessary if the child is not in respiratory distress. Applying soft restraints (
B) can escalate the situation and may not be indicated unless absolutely necessary. Placing a pillow under the child's knees (
C) is not a priority in this situation.
Extract:
A nurse is caring for a toddler who had a cleft lip and palate repair and is trying to touch the incision site.
Question 4 of 5
Which of the following provider prescriptions is recommended for the toddler?
Correct Answer: B
Rationale: The correct answer is B: Place the toddler in bilateral elbow restraints. This option is recommended for the toddler as it helps to prevent the child from causing self-harm by pulling out IV lines or tubes. Elbow restraints are commonly used in healthcare settings to ensure the safety of pediatric patients without causing harm or discomfort.
Choice A (Swaddle the toddler in a blanket) is incorrect as it does not provide the necessary level of restraint to prevent self-harm.
Choice C (Place the child in a mummy restraint) is also incorrect as mummy restraints are not typically used for toddlers due to the risk of restricting movement and causing discomfort.
Choice D (Obtain a prescription for lorazepam) is not recommended as it is a medication and should not be used solely for the purpose of restraint in a toddler. It is important to explore non-pharmacological options first before resorting to medication.
Extract:
A nurse is assessing a child who has bacterial pneumonia.
Question 5 of 5
Which of the following findings should the nurse identify as a potential risk for aspiration?
Correct Answer: B
Rationale: The correct answer is B: Neurological deficit. Neurological deficits can impair the ability to protect the airway and coordinate swallowing, increasing the risk of aspiration. Elevated temperature (
A) does not directly indicate aspiration risk. Inspiratory wheezing (
C) suggests airway narrowing but not necessarily aspiration risk. Rapid respirations (
D) can be a sign of respiratory distress, but not specifically aspiration risk.