ATI RN
Pediatric Emergency Nursing PICO Questions Questions
Question 1 of 5
A preterm newborn, after spending 8 weeks in the NICU, is being discharged. The parents of the newborn express apprehension and worry that the newborn may still be in danger. How should the nurse interpret these statements?
Correct Answer: A
Rationale: It is normal for parents of preterm newborns who have spent time in the NICU to express apprehension and worry upon discharge. The NICU experience can be stressful and overwhelming for families, and it is common for parents to feel anxious about taking their newborn home. The nurse should provide support and education to help alleviate the parents' concerns and ensure a smooth transition from the hospital to home. It is important to acknowledge the parents' feelings, offer reassurance, and reinforce the importance of follow-up care and monitoring.
Question 2 of 5
The screening test for PKU is most reliable if the blood sample is:
Correct Answer: D
Rationale: The screening test for PKU (Phenylketonuria) is most reliable when the blood sample is fresh and taken from the heel. This is because the test requires a small amount of blood, and obtaining a fresh sample from the heel minimizes the risk of contamination and ensures accurate results. Additionally, collecting the blood sample from the heel is less invasive for the newborn and is a common practice for newborn screening tests. Blood samples taken from cord blood, 14 days after birth, or before oral feedings are initiated may not provide accurate results for the PKU screening test.
Question 3 of 5
The nurse is having difficulty communicating with a hospitalized 6-year-old child. What technique might be most helpful?
Correct Answer: D
Rationale: Asking the child to draw a picture can be the most helpful technique in this situation because it allows the child to express themselves visually, especially when verbal communication may be challenging. Drawing can serve as a form of communication that the child may find more comfortable and engaging. It provides the child with a non-verbal way to express their thoughts, feelings, and experiences, which can help the nurse better understand the child's perspective and potentially build a connection with them. Additionally, examining the child's drawings can provide valuable insights into their emotional state and concerns, facilitating more effective care and support.
Question 4 of 5
Pulses can be graded according to certain criteria. Which is a description of a normal pulse?
Correct Answer: B
Rationale: In grading pulses, the normal pulse is typically designated as +1. This indicates a pulse that is easily felt, normal in strength, and corresponds to a healthy pulse rate. A +1 pulse is considered regular, not too weak or too strong, and is indicative of good cardiovascular health. Any abnormalities in pulse strength or rate would be graded differently.
Question 5 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.