ATI RN
ATI Pediatric Proctored Exam Questions
Question 1 of 5
The healthcare professional is preparing to administer an immunization to a four-year-old child. Which of the following actions should the professional plan to take?
Correct Answer: C
Rationale: When administering an immunization to a four-year-old child, it is important to use a 24-gauge needle to minimize pain and discomfort for the child. Thicker needles can cause more pain and tissue trauma. Using a thinner needle like a 24-gauge is appropriate for pediatric immunizations. The other options are not recommended practices: placing the child in a prone position is not ideal for immunization administration, it is beneficial to have the caregiver present for support, and aspirating before administering the immunization is not required for intramuscular injections in current practice.
Question 2 of 5
A school nurse is assessing a school-age child’s blood pressure while he is seated in a chair. The child starts to experience a tonic-clonic seizure. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: In this scenario, the correct action for the school nurse to take first when a school-age child experiences a tonic-clonic seizure while seated in a chair is to assist the child to a side-lying position on the floor (Option
C). This is because placing the child in a side-lying position helps prevent aspiration and ensures an open airway, reducing the risk of injury during the seizure.
Option A (Clear the immediate area around the child of hazardous objects) is important but not the first priority when a child is actively seizing, as the immediate safety and well-being of the child take precedence. Option B (loosen the child’s restrictive clothing) may be helpful after the child is in a safe position, but it is not the priority during an ongoing seizure. Option D (apply an oxygen mask to the child) is not necessary during a seizure unless respiratory distress occurs after the seizure ends.
Educationally, it is crucial for nurses to prioritize actions during emergency situations like seizures, ensuring the safety and well-being of the child. Understanding the correct sequence of interventions can prevent complications and promote optimal outcomes for pediatric patients.
Question 3 of 5
When preparing an adolescent for a lumbar puncture, which of the following actions should the nurse take?
Correct Answer: B
Rationale: In preparing an adolescent for a lumbar puncture, the correct action for the nurse to take is to apply topical analgesic cream to the site one hour prior to the procedure (Option
B). This is because the application of topical analgesic cream helps to numb the area, reducing the pain and discomfort the adolescent may experience during the procedure. It promotes a more comfortable experience and can help alleviate anxiety in the adolescent.
Option A, placing a cardiac monitor on the adolescent prior to the procedure, is incorrect as a cardiac monitor is not typically required for a lumbar puncture in this context. Option C, keeping the adolescent in a semi-Fowler's position for 4 hours following the procedure, is also incorrect as maintaining a supine position is usually recommended to prevent complications post-procedure. Option D, restricting fluids for 2 hours following the procedure, is incorrect as maintaining hydration is important to prevent complications such as post-lumbar puncture headache.
In an educational context, understanding the rationale behind each action is crucial for pediatric nurses to provide safe and effective care to their patients. Teaching the importance of proper preparation, including pain management strategies like applying topical analgesic cream, helps nurses optimize the patient experience and outcomes during procedures like lumbar punctures.
Question 4 of 5
A nurse is providing dietary teaching to the parent of a school-age child with cystic fibrosis. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: The parent should provide a well-balanced diet that is high in protein and calories for a child with cystic fibrosis. This diet helps meet the child's increased energy requirements. Offering high-protein meals and snacks throughout the day is essential to ensure adequate nutrition and energy intake for children with cystic fibrosis.
Question 5 of 5
A client has a new diagnosis of celiac disease. Which of the following clinical manifestations should the nurse expect?
Correct Answer: A
Rationale: Celiac disease is a condition where individuals are unable to digest gluten, leading to damage in the bowel cells and subsequent malabsorption. This malabsorption commonly presents with symptoms such as steatorrhea, which is characterized by foul-smelling, greasy, and bulky stools due to high fat content.
Therefore, the nurse should expect steatorrhea as a clinical manifestation in clients with celiac disease.