ATI RN
ATI Pediatrics Proctored Questions
Extract:
A child for a lumbar puncture
Question 1 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: A
Rationale: The correct position for a lumbar puncture in a child is the lateral position. This position allows for better visualization of the spine and easier access to the lumbar area. Placing the child in the lateral position helps to open up the intervertebral spaces and ensure proper alignment for the procedure. Prone position would not provide adequate access to the lumbar area. Semi-fowler and supine positions are not ideal for lumbar puncture as they do not allow for proper alignment of the spine.
Extract:
A child experiencing a sickle cell crisis
Question 2 of 5
A nurse is planning care for a child who is experiencing a sickle cell crisis. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: B
Rationale:
Correct
Answer: B - Initiate bed rest
Rationale: Bed rest is essential during a sickle cell crisis to reduce oxygen demand and prevent further complications. Movement can worsen the crisis by increasing oxygen requirements and causing more pain. It allows the body to conserve energy and focus on recovery.
Incorrect
Choices:
A: Administering meperidine can be contraindicated in sickle cell crisis as it can cause respiratory depression. It is important to use non-narcotic pain medications.
C: Fluid intake should be encouraged to prevent dehydration, as dehydration can exacerbate sickle cell crisis. Limiting fluids is not appropriate.
D: Applying cold compresses can worsen vaso-occlusive crisis by constricting blood vessels further. Warm compresses may be used to help improve circulation.
Extract:
An infant at 12 months of age
Question 3 of 5
A nurse is teaching a group of parents about childhood immunizations. The nurse should identify that infant should receive the first dose of which of the following immunizations at 12 months of age.
Correct Answer: D
Rationale: The correct answer is D: Varicella. Varicella vaccine is typically administered to infants at 12 months of age to protect against chickenpox. This timing ensures optimal immunity before potential exposure. Hepatitis B is usually given shortly after birth. Human papillomavirus vaccine is typically given in adolescence. Inactivated polio virus vaccine is usually given in multiple doses starting at 2 months of age. So, Varicella is the appropriate choice at 12 months.
Extract:
A school-age child with respiratory stridor, wheezing, and urticaria after IV medication
Question 4 of 5
A nurse in the emergency department is caring for a school-age child who has developed respiratory stridor, wheezing and urticaria after receiving an IV medication. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D: Administer epinephrine. This is the first action the nurse should take because the child is experiencing an anaphylactic reaction, indicated by stridor, wheezing, and urticaria. Epinephrine is the first-line treatment for anaphylaxis as it helps to reverse bronchoconstriction and vasodilation, improving respiratory distress and hypotension. Administering epinephrine promptly is crucial in preventing further deterioration and potentially saving the child's life. Administering methylprednisolone (choice
A) or a nebulized bronchodilator (choice
C) can be considered later, but epinephrine should be given first. Administering oxygen (choice
B) is important but not the priority in this situation.
Extract:
A child prior to IV catheter insertion
Question 5 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.