ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
A nurse is providing teaching to a parent of a child who has HIV.
Question 1 of 5
Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I will ensure that my child is tested for tuberculosis every year." This statement indicates understanding of teaching because it shows the parent's awareness of the importance of regular testing for tuberculosis due to the child's condition. Testing for tuberculosis is crucial for early detection and treatment in immunocompromised individuals.
Choice A is incorrect because childhood immunizations do not need to be repeated once in remission.
Choice B is incorrect because the risk of transmission of HIV is not solely dependent on being on zidovudine for 2 weeks.
Choice D is incorrect because doubling medications without proper guidance can be harmful.
Extract:
A nurse is preparing a child for a lumbar puncture.
Question 2 of 5
In which of the following positions should the child be placed for the procedure?
Correct Answer: B
Rationale: The correct answer is B: Lateral. Placing the child in a lateral position is ideal for the procedure as it allows for easy access to the targeted area while providing stability and comfort. Lateral positioning also minimizes the risk of injury and maximizes the effectiveness of the procedure.
A: Semi-Fowler's position is not suitable as it may not provide adequate access or stability.
C: Supine position is not ideal for certain procedures that require a lateral approach.
D: Prone position is not appropriate as it does not allow for proper access or visibility of the target area.
Extract:
A nurse is preparing to administer an IM injection to a 3-year-old child.
Question 3 of 5
Which of the following statements should the nurse make?
Correct Answer: C
Rationale: The correct answer is C because it empowers the patient by providing autonomy in decision-making, which enhances their sense of control and involvement in their care. Offering the choice of which leg to receive the medicine in promotes patient-centered care. Option A is manipulative and uses rewards to control behavior. Option B oversimplifies the effects of the medication. Option D minimizes the discomfort of the injection.
Extract:
A nurse is assessing a child who has measles.
Question 4 of 5
Which of the following areas should the nurse inspect for Koplik spots?
Correct Answer: A
Rationale: The correct answer is A: Inside the cheeks. Koplik spots are small, white spots with a bluish-white center, typically found on the buccal mucosa opposite the molars. This is a hallmark sign of measles. Inspecting inside the cheeks allows the nurse to identify these spots accurately.
Choices B, C, and D are incorrect because Koplik spots are not typically found on the tongue, gums, or lips in cases of measles. It is crucial for the nurse to have a clear understanding of the characteristic locations of Koplik spots to make an accurate assessment and provide appropriate care to the patient.
Extract:
A nurse is caring for an infant who has heart failure and vomited following administration of digoxin.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Administer the next dose as prescribed. This is the appropriate action because it follows the healthcare provider's orders, ensuring the patient receives the intended treatment. Increasing fluid intake (choice
A) may be beneficial in some cases but is not the immediate action required here. Giving an antiemetic (choice
B) may be necessary if the patient is experiencing nausea or vomiting, but it does not address the administration of the prescribed medication. Mixing the medication with formula (choice
D) is incorrect as it may alter the medication's effectiveness or cause interactions with the formula. Overall, following the healthcare provider's instructions (choice
C) is the most appropriate and safest action in this scenario.