ATI RN
ATI RN Pediatric Nursing 2023 Questions
Extract:
A nurse is providing discharge teaching to the guardian of a preschooler who had a tonsillectomy.
Question 1 of 5
Which of the following statements should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Notify the provider if your child is swallowing frequently. This is important because frequent swallowing could indicate a potential issue such as difficulty breathing or a foreign object in the throat. A: Dark brown blood between teeth is not typically a concern. B: Drinking through a straw may not be relevant to the situation. D: Clearing the throat as needed may not address the underlying problem.
Extract:
A nurse is providing teaching to the parent of a toddler who is scheduled for an electrocardiogram.
Question 2 of 5
Which of the following statements should the nurse make?
Correct Answer: A
Rationale: The correct answer is A because allowing the child to rest on the parent's lap during a procedure provides comfort, security, and reassurance. This helps reduce the child's anxiety and fear, making the procedure smoother.
Choice B is incorrect because alarms for heart rhythm are not typically mentioned to parents and may cause unnecessary worry.
Choice C is incorrect as leads are usually placed on the chest for cardiac procedures, not the back.
Choice D is incorrect because giving a specific time frame can lead to unrealistic expectations and anxiety if the procedure takes longer.
Extract:
A nurse is preparing to administer an enteral feeding to an adolescent who has an NG tube.
Question 3 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct action for the nurse to take first is to check the pH of the gastric secretions (
Choice
A). This is crucial to determine the placement of the NG tube in the stomach. If the pH is acidic (pH < 5), it indicates the tube is in the stomach. If the pH is alkaline (pH > 6), it may suggest the tube is in the respiratory tract, which could lead to serious complications if feeding is initiated. Setting the administration rate on the feeding pump (
Choice
B) should only be done after ensuring proper tube placement. Flushing the tube with water (
Choice
C) or attaching the feeding bag tubing to the end of the NG tube (
Choice
D) should also be done after verifying tube placement. Checking the pH is the first step in ensuring patient safety and preventing potential harm.
Extract:
A nurse is teaching a newly licensed nurse about infant safety.
Question 4 of 5
Which of the following information should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Provide an infant with a one-piece pacifier for non-nutritive sucking. This information should be included in teaching because it promotes safe infant care practices. One-piece pacifiers reduce the risk of choking hazards compared to multi-piece pacifiers. It is important for the nurse to emphasize this to prevent potential harm to the infant.
A: Placing a 5-month-old infant in a high chair to feed is not recommended as the infant may not have developed proper head control and may be at risk of choking or aspiration.
B: Positioning a 1-month-old infant supine on a soft mattress increases the risk of sudden infant death syndrome (SIDS). The infant should be placed on their back on a firm mattress.
D: Securing the infant's car seat behind an airbag is dangerous as airbags can cause serious injury or death to an infant in the event of an accident.
Extract:
A nurse in an emergency department is caring for a toddler who has manifestations of epiglottitis.
Question 5 of 5
Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D: Place intubation equipment at the bedside. This is the first action the nurse should take in a potentially life-threatening situation to ensure airway management readiness. Placing intubation equipment allows for immediate intervention if the child's respiratory status deteriorates. Obtaining an x-ray (
A) or administering antibiotics (
B) can be important but not as urgent as securing the airway. Initiating droplet precautions (
C) is important for infection control but does not address the immediate airway concern.