ATI RN
ATI RN Pediatrics Nursing 2023 I Questions
Extract:
A nurse is teaching the guardian of a child who is suspected of having cystic fibrosis and is scheduled for a sweat chloride test.
Question 1 of 5
Which of the following statements should the nurse include?
Correct Answer: A
Rationale: The correct answer is A because collecting two separate samples ensures reliability in test results by minimizing errors and confirming consistency. This method helps to rule out any potential contamination or handling issues that could affect the accuracy of the test. Option B is incorrect as providing a specific time frame for test completion may vary and is not universally applicable. Option C is incorrect as sedation is not typically required for this type of test and may introduce unnecessary risks. Option D is incorrect because the fasting period recommended before the test is usually shorter than 6 hours.
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 2 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 admitting a school-age child who has osteomyelitis.
Question 3 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The nurse should first obtain a blood culture because it is crucial in identifying the causative organism in a suspected infection. This step helps guide appropriate antibiotic therapy promptly. Requesting a referral for physical therapy, administering IV antibiotics, and recording intake and output are important interventions, but obtaining a blood culture takes precedence in cases of suspected infection to ensure accurate and timely treatment.
Extract:
A nurse is caring for a toddler who received radiation therapy 2 years ago for a brain tumor.
Question 4 of 5
Which of the following should the nurse identify as a late adverse effect of the radiation therapy?
Correct Answer: D
Rationale: The correct answer is D: Short stature. Late adverse effects of radiation therapy typically manifest months to years after treatment. Radiation can affect bones and inhibit growth, leading to short stature. Mucosal ulceration (
A) and desquamation (
C) are early side effects, while nausea (
B) is a common acute side effect.
Therefore, they are not considered late adverse effects.
Choice E, F, and G are not provided.
Extract:
A nurse is assessing a child who has rubeola.
Question 5 of 5
Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Koplik spots. This finding is associated with measles, and the nurse should expect it in a patient with the disease. Koplik spots are small, white spots with a bluish-white center on the buccal mucosa opposite the molars. The presence of Koplik spots is pathognomonic for measles. Lymphadenopathy (choice
A) is not a specific finding related to measles. Steatorrhea (choice
B) is not associated with measles but rather with malabsorption syndromes. Paroxysmal coughing (choice
D) is more indicative of pertussis. In summary, Koplik spots are a key finding in measles, making choice C the correct answer.