ATI RN
Pediatric Emergency Nursing PICO Questions Questions
Question 1 of 5
A nurse is performing an otoscopic exam on a school-age child. Which direction should the nurse pull the pinna for this age of child?
Correct Answer: A
Rationale: When performing an otoscopic exam on a school-age child, the nurse should pull the pinna (outer ear) of the child in an upward and backward direction. This technique helps to straighten the ear canal, allowing for better visualization and easier insertion of the otoscope to examine the ear canal and eardrum. Pulling the pinna in the wrong direction could potentially cause discomfort to the child or obstruct the view of the ear canal. Therefore, pulling the pinna up and back is the correct direction for this age group.
Question 2 of 5
The parent of a 2-week-old infant, exclusively breastfed, asks the nurse if fluoride supplements are needed. What is the nurse's best response?
Correct Answer: B
Rationale: The nurse's best response to the parent of a 2-week-old infant, exclusively breastfed, regarding the need for fluoride supplements is that they are not needed if the infant is already drinking fluoridated water. Fluoride supplements are typically recommended for infants who are not receiving enough fluoride through their water source. Breast milk itself does not contain a significant amount of fluoride, but if the family's water supply is fluoridated, the infant will likely receive an adequate amount of fluoride without the need for supplements. It is important for the parent to verify the fluoride content of their water supply with their local water utility to ensure the infant is receiving the appropriate amount of fluoride for dental health.
Question 3 of 5
A clinic nurse is planning a teaching session about childhood obesity prevention for parents of school-age children. The nurse should include which associated risk of obesity in the teaching plan?
Correct Answer: D
Rationale: Childhood obesity is strongly associated with an increased risk of developing Type II diabetes. When children are obese, their body's ability to utilize insulin properly can become compromised, leading to insulin resistance and eventually the development of Type II diabetes. This chronic condition can have serious long-term health consequences if not properly managed, making it crucial for parents to understand the link between childhood obesity and Type II diabetes in order to prevent or address it early on.
Question 4 of 5
When communicating with other professionals, what is important for the nurse to do?
Correct Answer: C
Rationale: When communicating with other professionals, it is important for the nurse to restrict communication to clinically relevant information. This ensures that only necessary and pertinent information is shared, maintaining patient confidentiality and preventing the unnecessary dissemination of sensitive details. By focusing on clinically relevant information, healthcare professionals can collaborate effectively and make well-informed decisions about patient care without compromising confidentiality or violating ethical guidelines.
Question 5 of 5
A nurse is preparing to complete an admission assessment on a 2-year-old child. The child is sitting on the parent's lap. Which technique should the nurse implement to complete the physical exam?
Correct Answer: C
Rationale: The most appropriate technique in this scenario would be to perform the exam while the child is on the parent's lap. This approach helps build trust and comfort for the child, as they are in a familiar and secure environment. It can also help the nurse assess the child's behavior and interactions with the parent during the exam, providing valuable information about the child's developmental stage and emotional well-being. Additionally, conducting the exam in this way can help reduce anxiety and fear that the child may experience in an unfamiliar setting like the hospital crib or exam room.