ATI RN
ATI Pediatrics Proctored Exam 2023
1. During a developmental screening, a 4-year-old child is asked to perform a task. Which of the following tasks should the nurse expect the child to perform?
- A. Draw a stick figure with seven body parts
- B. Draw a circle
- C. Identify right from left hand
- D. Tie their shoelaces
Correct answer: B
Rationale: At 4 years old, children are typically able to draw a circle, which is a developmental milestone for their age. Drawing a stick figure with specific body parts might be beyond their developmental level, identifying right from left hand can be challenging, and tying shoelaces requires more advanced motor skills.
2. Which clinical manifestation should a nurse monitor for when assessing a pediatric client diagnosed with a basilar skull fracture?
- A. Periorbital ecchymosis
- B. Subdural hematoma
- C. Protruding bone
- D. Epidural hematoma
Correct answer: A
Rationale: Periorbital ecchymosis, also known as raccoon eyes, is a classic sign of a basilar skull fracture. It presents as bruising around the eyes due to blood collecting in the tissues. Monitoring for periorbital ecchymosis is crucial in assessing a pediatric client with a basilar skull fracture because it can indicate the presence of this serious injury.
3. A parent is receiving discharge teaching following their infant's hypospadias repair. Which instruction should the parent follow?
- A. Apply a warm compress to the infant's surgical site twice daily.
- B. Avoid giving the infant a tub bath for 1 week.
- C. Apply an antibiotic ointment to the infant's penis daily.
- D. Clamp the infant's catheter for 30 minutes every 4 hours.
Correct answer: B
Rationale: After hypospadias repair, it is essential to avoid giving the infant a tub bath for 1 week to prevent infection and promote proper healing. Submerging the surgical site in water too soon can increase the risk of infection and compromise the healing process.
4. When teaching parents of a school-aged child with a new diagnosis of osteomyelitis of the tibia, which statement by the parents indicates an understanding of the teaching?
- A. My child will have a cast until healing is complete.
- B. My child will receive antibiotics for several weeks.
- C. My child can return to playing sports once he is discharged.
- D. My child needs to be in contact isolation.
Correct answer: B
Rationale: The correct answer is B. Osteomyelitis of the tibia typically requires antibiotic therapy for at least 4 weeks. Surgery may be necessary if the infection does not respond to antibiotics. Weight-bearing should be avoided with osteomyelitis to prevent complications. Choices A, C, and D are incorrect because a cast until healing, returning to sports immediately, and contact isolation are not primary management strategies for osteomyelitis.
5. A parent of a child with celiac disease is receiving teaching from a nurse. Which of the following statements should the nurse make?
- A. You should give your child vitamin supplements that contain iron.
- B. Your child will need a gluten-free diet.
- C. Your child should consume large amounts of dietary fiber.
- D. Your child can resume eating whole wheat bread.
Correct answer: B
Rationale: The correct answer is B. Celiac disease requires a strict gluten-free diet to manage the condition effectively. Gluten-containing foods like wheat, barley, and rye must be avoided to prevent intestinal damage and symptoms in individuals with celiac disease. Therefore, the nurse should emphasize the importance of a gluten-free diet to the parent of the child with celiac disease.
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