ATI RN
ATI Pediatrics Proctored Exam 2023
1. A child has a brain tumor. Which of the following findings should the nurse expect?
- A. Decreased head circumference
- B. Frequent headaches
- C. Increased appetite
- D. Increased blood pressure
Correct answer: B
Rationale: Children with brain tumors commonly experience frequent headaches due to increased intracranial pressure. This pressure can result in pain and discomfort, leading to headaches as a common symptom. Other symptoms may include nausea, vomiting, changes in vision, and behavioral changes, but headaches are a prominent feature in children with brain tumors.
2. 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.
3. Which statement fosters cultural competence?
- A. Treat everyone the same regardless of their culture
- B. Provide an outline of your beliefs as a starting point
- C. Acknowledge and respond to influences of cultural beliefs in the intervention plan
- D. Ask the family to outline how their beliefs will influence therapy
Correct answer: C
Rationale: Cultural competence involves recognizing and considering the impact of cultural beliefs on individuals. By acknowledging and responding to these cultural influences in the intervention plan, professionals can tailor their approach effectively and respectfully. This approach helps build trust, enhances communication, and improves outcomes in culturally diverse settings.
4. 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.
5. Which statement is not part of the developmental care approach?
- A. Family-centered care
- B. Care on a sliding payment scale
- C. Healing environment
- D. Protected sleep
Correct answer: B
Rationale: The developmental care approach emphasizes creating an environment that supports the infant's developmental needs, including family-centered care, a healing environment, and promoting protected sleep. Payment scale considerations are not a component of developmental care.
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