ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
A nurse is preparing to administer an IM injection to a 3-year-old child.
Question 1 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 2 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 3 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.
Extract:
A nurse is teaching the guardian of a newborn about how to prepare their 3-year-old child to meet their new sibling.
Question 4 of 5
Which of the following statements should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: "Provide a doll for your 3-year-old child to imitate parental behaviors." This statement is correct because it encourages the child to engage in symbolic play, which can help them process and understand the upcoming changes in the family dynamics with the arrival of a newborn. By imitating parental behaviors with a doll, the child can learn about caregiving and prepare for the new sibling.
Statements B, C, and D are incorrect because they do not provide specific guidance on how to help the child adjust to the new situation. Statement B could cause unnecessary stress for the child by suggesting a sudden change in routines. Statement C may lead to confusion or unrealistic expectations for the child about the new playmate. Statement D does not address the child's emotional readiness for the transition from a crib to a bed.
In summary, providing a doll for the child to imitate parental behaviors is the most appropriate and helpful suggestion for preparing a 3-year-old child for the arrival of
Extract:
A nurse is teaching the parent of an infant who has a new diagnosis of heart failure about nutrition.
Question 5 of 5
Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Implement a 3-hour feeding schedule. This instruction is important for establishing a routine and ensuring the infant receives adequate nutrition. Feeding on a schedule helps regulate the infant's intake and can prevent overfeeding or underfeeding. It also helps in monitoring the infant's growth and development.
Choice A is incorrect because placing the infant in a recumbent position during feeding can increase the risk of choking.
Choice B is incorrect as infants should be fed on cue rather than on a strict time limit like 45 minutes.
Choice C is incorrect as allowing the infant to cry before feeding can lead to unnecessary distress and is not recommended.
In summary, option D is the correct choice as it promotes a structured feeding routine that is beneficial for the infant's health and development, while the other options may have negative implications or are not evidence-based practices for infant feeding.