ATI RN
Pediatric Emergency Nursing PICO Questions Questions
Question 1 of 5
Which is the most appropriate nursing intervention for the newborn who is jittery and twitching and has a high-pitched cry?
Correct Answer: C
Rationale: The most appropriate nursing intervention for the jittery and twitching newborn with a high-pitched cry is to obtain serum glucose and serum calcium levels (Option C). These symptoms are indicative of possible hypoglycemia or hypocalcemia, which are common issues for newborns. Monitoring glucose and calcium levels will help identify and address any imbalances that may be causing these symptoms. Administering glucose (Option D) may be necessary if hypoglycemia is confirmed, but it should be based on the results of blood tests. Monitoring blood pressure (Option A) and obtaining a urine sample to detect glycosuria (Option B) are not the priority interventions in this scenario compared to assessing serum glucose and calcium levels.
Question 2 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 3 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 4 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 5 of 5
According to Piaget, the 6-month-old infant should be in which developmental stage?
Correct Answer: B
Rationale: According to Piaget's theory of cognitive development, the 6-month-old infant would typically be in the stage known as primary circular reactions. This stage occurs from around 1 to 4 months of age up to about 1 year old. During this stage, infants begin to repeat actions that bring them pleasure or interesting results, such as sucking their thumb or repeating simple movements like kicking. These repetitive actions are circular in nature because they involve the infant's own body, and they serve as the building blocks for more complex interactions and understanding of the world. This stage is characterized by the infant's increasing ability to coordinate sensory information with motor actions, laying the foundation for further cognitive development.