ATI RN
ATI Pediatrics Proctored Questions
Extract:
A child prior to IV catheter insertion
Question 1 of 5
A nurse is preparing to apply lidocaine and prilocaine cream to a child prior to the insertion of an IV catheter. Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: The correct answer is C: Apply the cream 1 hr. before the procedure. Lidocaine and prilocaine cream requires time to penetrate the skin and provide sufficient anesthesia. Applying it 1 hour before the procedure ensures it has enough time to take effect.
Choice A is incorrect as alcohol can interfere with the absorption of the cream.
Choice B is incorrect as rubbing the cream vigorously can cause skin irritation.
Choice D is incorrect as the cream should be removed before the procedure to prevent interference with IV insertion.
Extract:
An adolescent following repair of Meckel Diverticulum
Question 2 of 5
A nurse is planning care for an adolescent following repair of Meckel Diverticulum. Which of the following actions should the nurse include in the plan of care?
Correct Answer: C
Rationale: The correct answer is C: Maintain an NG tube for decompression. Following Meckel Diverticulum repair, maintaining an NG tube helps prevent postoperative ileus and abdominal distension by removing gastric contents. Administering total parenteral nutrition (
A) is not necessary unless there are complications. Long term antibiotic therapy (
B) is not typically indicated after surgery. Teaching about ostomy care (
D) is not relevant for Meckel Diverticulum repair.
Extract:
A preschool-age child with acute acetylsalicylic acid poisoning
Question 3 of 5
A nurse in an emergency department is caring for a preschool-age child who has acute acetylsalicylic acid poisoning. Which of the following should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: hyperpyrexia. Acetylsalicylic acid poisoning can lead to metabolic acidosis and hyperthermia.
Toxicity can affect the central thermoregulatory center, leading to hyperpyrexia. Polyuria (choice
A) is not typically associated with acetylsalicylic acid poisoning. Neck vein distension (choice
B) is more indicative of heart failure rather than poisoning. Jaundice (choice
C) is not a common manifestation of acetylsalicylic acid poisoning. In summary, hyperpyrexia is the most likely outcome in a preschool-age child with acute acetylsalicylic acid poisoning.
Extract:
A 24-month-old child with acute lymphocytic leukemia
Question 4 of 5
A nurse is reviewing the medical record of a 24-month-old child who has acute lymphocytic leukemia. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: initiate bleeding precautions. Children with acute lymphocytic leukemia are at risk for thrombocytopenia, which can lead to bleeding tendencies. By initiating bleeding precautions, the nurse can help prevent injury and promote safety for the child. Placing the child in knee-chest position (
B) is not indicated for this condition. Applying viscous lidocaine to the oral mucosa (
C) is not related to the child's diagnosis. Obtaining a rectal temperature every 4 hours (
D) is not a priority action in this case.
Extract:
An adolescent with muscular dystrophy
Question 5 of 5
A nurse is creating a plan of care for an adolescent who has muscular dystrophy. Which of the following interventions should the nurse include in the plan?
Correct Answer: D
Rationale: The correct answer is D: Encourage the adolescent to perform incentive spirometry to maintain lung capacity. In muscular dystrophy, respiratory complications are common due to weakened respiratory muscles. Incentive spirometry helps in maintaining lung capacity and preventing respiratory complications.
Choice A is incorrect as vaccines are important for preventing infections in immunocompromised individuals.
Choice B is incorrect as chest physiotherapy every 4 hours may not be necessary and could be excessive.
Choice C is incorrect as using a wheelchair unnecessarily may lead to deconditioning of muscles.