ATI RN
ATI RN Pediatric Nursing 2023 II Questions
Question 1 of 5
A nurse is preparing to perform a venipuncture on a 4-year-old child. Which of the following actions should the nurse take to ensure atraumatic care?
Correct Answer: C
Rationale: Asking the child's parent to leave the room during the procedure may increase the child's anxiety and make the procedure more traumatic. Performing the procedure in the unit's playroom may not provide the necessary equipment and sterile environment required for a venipuncture. Applying a topical anesthetic cream helps reduce pain and discomfort during the venipuncture, promoting atraumatic care. Explaining the procedure in detail to the child 3 hours prior to the procedure may increase anxiety and anticipation, making the procedure more traumatic.
Question 2 of 5
A nurse is assessing a child who is 2 hr postoperative following a cardiac catheterization and finds the dressing is saturated with blood. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: This is the first step to control bleeding and prevent further blood loss. Monitoring the distal pulse is important, but controlling bleeding takes precedence. Vital signs can wait momentarily until the bleeding is under control. Reinforcing the dressing may be necessary, but controlling bleeding is the immediate priority.
Question 3 of 5
A nurse is caring for a child who has impetigo contagiosa that developed in the hospital. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Administering amphotericin B IV is not indicated for impetigo contagiosa, which is typically treated with topical antibiotics. Applying lidocaine ointment topically is not indicated for impetigo contagiosa and would not address the infection. Initiating contact isolation precautions is appropriate for impetigo contagiosa to prevent the spread of the infection to other patients and healthcare workers. Reporting the disease to the state health department may be necessary for certain communicable diseases but is not the immediate action required in this scenario.
Extract:
Nurses' Notes: The child's guardian states the child has been unable to sleep recently and has been very irritable. Guardian expresses concern about the child's atopic dermatitis worsening and the child scratching excessively, which results in the areas bleeding. Guardian states the child has a history of allergic rhinitis.
Question 4 of 5
Which of the following statements should the nurse plan to include in the discharge instructions for the child's guardian? Select all that apply.
Correct Answer: A,C,D,F,G
Rationale: A. Cutting and filing the child's fingernails frequently can help prevent scratching and further irritation of the skin. B. Atopic dermatitis is not contagious, so this statement is incorrect. C. Applying emollients (moisturizers) to the child's skin after bathing can help hydrate the skin and reduce itching. D. Using a mild detergent for the child's laundry can help minimize skin irritation. E. Pimecrolimus cream is a topical immunomodulator that may be used for atopic dermatitis, but the thick layer application is not typically recommended for children due to safety concerns. F. Applying gloves to the child's hands can prevent scratching and further damage to the skin. G. Atopic dermatitis often has periods of exacerbation (flare-ups) followed by periods of improvement.
Extract:
Question 5 of 5
A nurse is evaluating the pain level of a toddler who is cognitively impaired to a nonpharmacologic intervention. Which of the following pain scales should the nurse use to evaluate the toddler's pain level?
Correct Answer: C
Rationale: Visual analog scales rely on the child's ability to comprehend and interpret visual cues, which may be challenging for a cognitively impaired toddler. FACES scales require the child to identify their pain level based on facial expressions, which may also be challenging for a cognitively impaired toddler. FLACC (Face, Legs, Activity, Cry, Consolability) scales are specifically designed for non-verbal or cognitively impaired individuals, assessing pain based on observable behaviors such as facial expression, leg movement, activity level, cry, and ability to be consoled. CRIES scales are primarily used for assessing pain in newborns and infants and may not be as applicable for a cognitively impaired toddler.