ATI RN
ATI RN Pediatric Nursing 2023 Questions
Extract:
A nurse is providing teaching to the parent of a toddler who is scheduled for an electrocardiogram.
Question 1 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 2 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 3 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 4 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.
Extract:
A nurse is providing teaching about home care to the parent of a child who has scabies.
Question 5 of 5
Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Treat everyone who came into close contact with the child. This instruction is crucial in preventing the spread of contagious conditions like lice. Treating close contacts helps eliminate the risk of re-infestation.
A: Washing the child's hair with shampoo containing ketoconazole may help treat the condition, but it does not address preventing spread to others.
C: Applying petroleum jelly may suffocate the lice, but it does not address treating potential infestations in close contacts.
D: Soaking combs and brushes in boiling water is a good practice to kill lice and nits, but it does not prevent spread to others.