ATI LPN
Wong's Essentials of Pediatric Nursing 11th Edition Test Bank
Chapter 20 Questions
Question 1 of 5
A nurse must do a venipuncture on a 6-year-old child. What consideration is important in providing atraumatic care?
Correct Answer: B
Rationale: Showing the child the equipment before the procedure reduces fear and supports atraumatic care. An 18-gauge needle is too large, a two-try policy (four attempts total) is preferred, and full restraint is unnecessary, favoring therapeutic hugging instead.
Question 2 of 5
Using knowledge of child development, what approach is best when preparing a toddler for a procedure?
Correct Answer: C
Rationale: Demonstrating the procedure on a doll engages a toddler?s preoperational thinking through play, reducing fear. Avoiding choices limits participation, 20-minute sessions are too long for a toddler?s attention span, and showing equipment without handling increases anxiety.
Question 3 of 5
A 7-year-old is identified as being at risk for skin breakdown. What intervention should the nursing care plan include?
Correct Answer: C
Rationale: Adequate nutrition prevents skin breakdown by supporting tissue health, especially in NPO children. Massaging bony prominences risks tissue damage, turning should occur every 2 hours by the nurse, and linens don?t typically cause irritation if managed properly.
Question 4 of 5
A 5-year-old child returns from the pediatric intensive care unit after abdominal surgery. The orders state to monitor vital signs every 2 hours. On assessment, the nurse observes that the childs heart rate is 20 beats/min less than it was preoperatively. What should be the nurses next action?
Correct Answer: C
Rationale: A 20 beats/min decrease in heart rate is significant and warrants rechecking pulse and blood pressure in 15 minutes to assess stability. Waiting 2 hours delays intervention, parents may not know the usual rate, and assuming shock without further data is premature.
Question 5 of 5
A 4-year-old girl is admitted to outpatient surgery for removal of a cyst on her back. Her mother puts the hospital gown on her, but the child is crying because she wants to leave on her underpants. What is the most appropriate nursing action at this time?
Correct Answer: A
Rationale: Allowing the child to keep her underpants on provides a sense of control and comfort, and they can be removed later if needed for anesthesia. Discussing with the mother or citing hospital policy doesn?t address the child?s distress, and asking the mother to explain may escalate the situation.