ATI RN
RN Pediatric Nursing 2023 ATI
1. During an assessment, which manifestation should a healthcare provider expect in an infant with pyloric stenosis?
- A. Bile-stained vomitus
- B. Distended abdomen
- C. Olive-shaped mass in the upper abdomen
- D. Painless, swollen joints
Correct answer: C
Rationale: Pyloric stenosis in infants typically presents with an olive-shaped mass in the upper abdomen due to hypertrophy of the pyloric muscle. This mass can often be palpated during an assessment and is a key characteristic of this condition. Bile-stained vomitus may be seen in conditions such as intestinal obstruction; a distended abdomen can be a nonspecific sign of various conditions, and painless, swollen joints are not typically associated with pyloric stenosis.
2. A healthcare professional is performing hearing screenings for children at a community health fair. Which of the following children should the professional refer to a provider for a more extensive hearing evaluation?
- A. A toddler who is 18 months old and has unintelligible speech
- B. An infant who is 3 months old and has an exaggerated startle response
- C. A preschooler who is 4 years old and prefers playing with others rather than alone
- D. An infant who is 8 months old and is not yet making babbling sounds
Correct answer: D
Rationale: The healthcare professional should refer an infant who is not making babbling sounds by the age of 7 months to a provider for a more extensive evaluation of hearing. Babbling sounds are a developmental milestone that typically occurs by 7 months of age. Delayed or absent babbling can indicate potential hearing issues that warrant further assessment.
3. When evaluating infants and young children in early intervention services, which of the following is recommended?
- A. Gain information from family, caregivers, professionals, and the child to create a total picture of the child's strengths and challenges
- B. Report test scores and therapist observations rather than parent reports
- C. Identify the areas of concern, weaknesses, and deficits to best address the child's and family's needs
- D. Observe the child in one setting with objective data from professionals
Correct answer: A
Rationale: When evaluating infants and young children in early intervention services, it is crucial to gather information from multiple sources, including family, caregivers, professionals, and the child. This holistic approach helps create a comprehensive understanding of the child's strengths and challenges, leading to a more effective intervention plan.
4. Which assessment finding would necessitate action by the nurse for a 10-month-old child who is 4 hours postoperative for the placement of a urethral stent?
- A. Bloody urine
- B. One void since returning from surgery
- C. Bladder spasms responding to pharmacologic intervention
- D. Double diapering from the previous shift
Correct answer: B
Rationale: In a postoperative scenario after the placement of a urethral stent, monitoring the child's voiding frequency is crucial. Having only one void since returning from surgery could indicate potential issues like urinary retention, which necessitates prompt nursing intervention to prevent complications.
5. Which frame of reference emphasizes techniques to teach children movement that resemble coaching?
- A. Motor control/motor learning
- B. Rehabilitation
- C. Biomechanical
- D. Ayres' sensory integration
Correct answer: A
Rationale: The correct frame of reference that emphasizes techniques to teach children movement resembling coaching is Motor control/motor learning. This approach focuses on improving movement skills through techniques that are similar to coaching methods. It helps children develop and refine their motor skills in a structured and goal-oriented manner. Rehabilitation, Biomechanical, and Ayres' sensory integration have different emphases and objectives in therapy, making them incorrect choices for this question.
Similar Questions
Access More Features
ATI RN Basic
$69.99/ 30 days
- 50,000 Questions with answers
- All ATI courses Coverage
- 30 days access @ $69.99
ATI RN Premium
$149.99/ 90 days
- 50,000 Questions with answers
- All ATI courses Coverage
- 30 days access @ $149.99