ATI RN
ATI RN Pediatrics Nursing 2023 I Questions
Extract:
A nurse is reinforcing the provider's explanation about treatment options to the parents of a 1-month-old who has coarctation of the aorta.
Question 1 of 5
Which of the following statements should the nurse include?
Correct Answer: B
Rationale:
Step 1: Surgical repair is the recommended treatment for infants younger than 6 months old because it addresses the underlying issue causing the obstruction, ensuring proper functioning of the affected organ.
Step 2: Medication like indomethacin may be used in certain cases, but it is not the primary treatment for infants with this condition.
Step 3: Heart transplant is a drastic measure and not typically the first-line treatment for infants with obstruction issues.
Step 4: Most cases resolving spontaneously without treatment by 12 months is not a reliable approach as it may lead to complications and delays in appropriate management.
Summary:
Choice B is the correct answer as it aligns with the standard of care for infants with obstructions, while the other choices offer less effective or inappropriate treatment options.
Extract:
A nurse is providing teaching to the parent of a school-age child who has diabetes mellitus about managing diabetes during illness.
Question 2 of 5
Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B: "I will increase the amount of fluids I offer my child." This statement indicates an understanding of teaching because increasing fluid intake helps prevent dehydration, a common complication in diabetes. Dehydration can lead to high blood sugar levels and other health issues. Offering more fluids can help maintain hydration and support overall health.
Incorrect
Choices:
A: Offering a specific amount of carbohydrates every 2 hours may not address the child's individual needs or fluctuations in blood sugar levels.
C: Withholding insulin when the child has a poor appetite can lead to uncontrolled blood sugar levels and potential complications.
D: Monitoring blood glucose levels every 8 hours may not provide enough information to manage diabetes effectively and respond promptly to changes.
Extract:
A nurse is providing teaching to the parents of a toddler who is exhibiting negativism during mealtimes.
Question 3 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 reinforcing the provider's explanation about treatment options to the parents of a 1-month-old who has coarctation of the aorta.
Question 4 of 5
Which of the following statements should the nurse include?
Correct Answer: B
Rationale:
Step 1: Surgical repair is the recommended treatment for infants younger than 6 months old because it addresses the underlying issue causing the obstruction, ensuring proper functioning of the affected organ.
Step 2: Medication like indomethacin may be used in certain cases, but it is not the primary treatment for infants with this condition.
Step 3: Heart transplant is a drastic measure and not typically the first-line treatment for infants with obstruction issues.
Step 4: Most cases resolving spontaneously without treatment by 12 months is not a reliable approach as it may lead to complications and delays in appropriate management.
Summary:
Choice B is the correct answer as it aligns with the standard of care for infants with obstructions, while the other choices offer less effective or inappropriate treatment options.
Extract:
A nurse is teaching the guardians of a school-age child who has cystic fibrosis about dietary needs.
Question 5 of 5
Which of the following statements should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: "Offer your child foods that are high in fat." This is because children require essential fatty acids for brain development and overall growth. Fat is a concentrated source of energy and aids in the absorption of fat-soluble vitamins. It is important for healthy cell function and hormone production.
Choices A, C, and D are incorrect because low-calorie, high vitamin C, and low-protein foods may not provide adequate nutrition for a growing child. Offering foods high in fat, but choosing healthy fats like avocados, nuts, and seeds, can support a child's overall health and development.