ATI RN
ATI RN Pediatrics Nursing 2023 I Questions
Extract:
A nurse is teaching a parent of a toddler how to prepare for the arrival of their newborn sibling.
Question 1 of 5
Which of the following statements by the parent indicates to the nurse an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B because it demonstrates the parent's understanding of potential behavior changes in the toddler after the sibling's birth, such as seeking comfort from a pacifier. This statement shows awareness and preparedness for the toddler's emotional needs.
Choice A is incorrect as it doesn't address the toddler's emotional adjustment.
Choice C might create anxiety for the toddler as they may not fully comprehend the concept of time.
Choice D assumes the toddler's perception of the baby as a playmate, overlooking potential jealousy or insecurity issues.
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 an adolescent how to manage his cystic fibrosis.
Question 3 of 5
Which of the following statements by the adolescent indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B: "I will increase my intake of vitamin D." This statement indicates an understanding of the teaching because it shows that the adolescent recognizes the importance of vitamin D for their health. Vitamin D is essential for bone health and overall well-being, especially during adolescence when bone growth is crucial. Increasing intake of vitamin D aligns with the teaching to support their health.
Choice A is incorrect because being excused from physical education class does not demonstrate an understanding of the teaching about health.
Choice C is incorrect as limiting calcium intake can actually increase the risk of kidney stones.
Choice D is incorrect as taking fewer enzymes when eating high-fat foods goes against the teaching of managing fat digestion.
Extract:
A nurse is assessing a school-age child who is receiving IV fluids to treat dehydration.
Question 4 of 5
Which of the following findings should indicate to the nurse that the fluid replacement therapy has been effective?
Correct Answer: A
Rationale: The correct answer is A: Capillary refill less than 2 seconds. This finding indicates effective fluid replacement therapy as it shows improved peripheral perfusion. A quick capillary refill time suggests that blood flow to the peripheral tissues is adequate, indicating proper circulation and hydration status. This is a direct and reliable indicator of fluid balance restoration.
Incorrect choices:
B: Elevated potassium levels indicate potential electrolyte imbalance, not fluid status.
C: Voiding less than 1 mL/kg/hr suggests inadequate renal perfusion, not necessarily improved fluid replacement.
D: Tachycardia can be a sign of hypovolemia or dehydration, not necessarily an indicator of effective fluid replacement.
Extract:
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, capillary refill 4 seconds.
Question 5 of 5
A pediatrician has evaluated the child and has written new prescriptions. The nurse is preparing to assist with a lumbar puncture. Which of the following actions should the nurse take? Select all that apply.
Correct Answer: A,D,E,G
Rationale: Correct answer: A, D, E, G
A: Apply pressure to the puncture site following the procedure - This is important to prevent bleeding and promote clotting.
D: Ensure the guardian has signed the consent form prior to the procedure - This is a legal and ethical requirement to ensure informed consent.
E: Ensure the child voids prior to the procedure - This helps reduce the risk of post-procedure urinary retention.
G: Monitor for paresthesia and tingling in extremities following the procedure - This is important to assess for potential nerve damage or complications.
Incorrect choices:
B: Limit the child's fluid intake following the procedure - There is no need to limit fluid intake post-lumbar puncture.
C: Position the child in a prone position during the procedure - The child should be in a lateral decubitus position for a lumbar puncture.
F: Insert an indwelling urinary catheter during the procedure - There is no indication for inserting a catheter