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 providing teaching to the parents of a toddler who is exhibiting negativism during mealtimes.
Question 2 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 caring for a preschooler who has a new diagnosis of celiac disease.
Question 3 of 5
Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Pale, oily stools. This finding is indicative of malabsorption, possibly due to conditions like celiac disease or pancreatic insufficiency. Redcurrant, jelly-like stools (choice
A) may suggest intussusception. Increased hemoglobin level (choice
B) is not directly related to stool appearance. Hematemesis (choice
D) refers to vomiting blood, not stool characteristics.
Extract:
A nurse is transporting a 12-year-old child in a wheelchair. The child begins to experience a tonic-clonic seizure.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct action for the nurse to take is D: Move the child to the floor. This is because moving the child to the floor ensures a safe environment in case of a fall or seizure. Inserting an oral airway (
A) may not be necessary if the child is not in respiratory distress. Applying soft restraints (
B) can escalate the situation and may not be indicated unless absolutely necessary. Placing a pillow under the child's knees (
C) is not a priority in this situation.
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 5 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.