ATI RN
ATI Nur307 Pediatrics Quiz Questions
Question 1 of 5
A nurse is reviewing the medical record of a toddler who is scheduled for surgery. Which of the following information should the nurse recognize as a potential risk for a latex allergy?
Correct Answer: C
Rationale: The correct answer is C: History of spina bifida. Spina bifida is a congenital condition associated with an increased risk of latex allergy due to frequent exposure to latex-containing medical products during surgeries and medical procedures. The latex proteins can trigger an allergic reaction in individuals with spina bifida. Suspected autism spectrum disorder (
Choice
A), diagnosis of hypospadias (
Choice
B), and previous cleft palate repair (
Choice
D) are not directly linked to an increased risk of latex allergy.
Therefore, the nurse should recognize the history of spina bifida as a potential risk factor for latex allergy in this case.
Question 2 of 5
A nurse is evaluating the pain level of a toddler who is cognitively impaired to a non-pharmacologic intervention. Which of the following pain scales should the nurse use to evaluate the toddler's pain level?
Correct Answer: D
Rationale: The correct answer is D: FLACC. FLACC stands for Face, Legs, Activity, Cry, and Consolability, which assesses pain in nonverbal individuals like toddlers. This scale considers behavioral indicators like facial expressions, leg movement, activity level, crying, and ability to be consoled. This comprehensive approach is suitable for cognitively impaired toddlers who may not be able to communicate verbally.
A: CRIES is more suitable for infants.
B: FACES is used for individuals who can self-report pain.
C: Visual analog scale requires self-reporting and is not suitable for toddlers with cognitive impairments.
Question 3 of 5
A nurse on a pediatric unit is caring for four children. The nurse should use droplet precautions for which of the following children?
Correct Answer: A
Rationale: The correct answer is A: A toddler who has seasonal influenza. Droplet precautions are used for infections transmitted through respiratory droplets, such as influenza.
Toddlers are at higher risk for severe complications from influenza.
Choice B, viral conjunctivitis, is transmitted through direct contact, not droplets.
Choice C, hepatitis A, is spread through fecal-oral route, not respiratory droplets.
Choice D, pediculosis capitis, is transmitted through direct contact with lice, not respiratory droplets.
Therefore, choices B, C, and D are incorrect for droplet precautions.
Question 4 of 5
A nurse is assessing a 4-month-old infant during a well-baby visit. For which of the following findings should the nurse notify the provider?
Correct Answer: D
Rationale: The correct answer is D, no head lag when pulled to a sitting position. This finding indicates a lack of normal head control for a 4-month-old infant, which may suggest developmental delays or muscular weakness. The other choices are considered normal findings for a 4-month-old infant. A positive Babinski reflex, presence of tears when crying, and intact Doll's eye reflex are all expected developmental milestones at this age.
Therefore, notifying the provider about the lack of head lag is essential for further evaluation and intervention.
Question 5 of 5
A nurse is preparing a child for a lumbar puncture. In which of the following positions should the child be placed for the procedure?
Correct Answer: B
Rationale: The correct answer is B: Lateral. Placing the child in the lateral position allows for better visualization of the landmarks needed for a lumbar puncture. This position helps to open up the spaces between the vertebrae, making it easier to access the lumbar region. The prone position (
A) would not provide adequate access, the supine position (
C) may not allow for proper alignment of the spine, and the semi-Fowler's position (
D) would not be ideal for this procedure. Additionally, the lateral position minimizes the risk of complications during the lumbar puncture procedure.