ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
Child acting aggressively toward staff
Question 1 of 5
A nurse is applying soft limb restraints to a child who is acting aggressively toward staff. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: A quick-release knot ensures safety by allowing rapid removal if needed. B. Assessments should be every 15-30 minutes, not 4 hours. C. Renewal is typically every 24 hours, not 48. D. Tying to side rails risks injury; use the bed frame.
Extract:
Question 2 of 5
A nurse is preparing to administer an oral medication to a preschooler. Which of the following actions should the nurse take to encourage acceptance of the medication?
Correct Answer: C
Rationale:
Correct Answer: C. Offering an ice pop after administering the medication is a positive reinforcement technique and can help numb the taste buds, reducing the aftertaste. A. Mixing with favorite food risks aversion and incomplete dosing. B. Diluting with 8 oz may reduce efficacy and be hard for a preschooler to drink. D. Milk can interfere with absorption and may be refused if the taste is unpleasant.
Extract:
Child in the acute stage of nephrotic syndrome
Question 3 of 5
A nurse is planning care for a child who is in the acute stage of nephrotic syndrome. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: B
Rationale: Daily weighing monitors fluid retention, critical in nephrotic syndrome. A. Increased fluids worsen edema. C. Supine positioning may increase edema; elevation helps. D. Calorie restriction harms recovery.
Extract:
4-year-old child receiving treatment for acute lymphoblastic leukemia
Question 4 of 5
A nurse is reviewing the complete blood count results for a 4-year-old child who is receiving treatment for acute lymphoblastic leukemia. Which of the following findings should indicate to the nurse that the treatment is having a therapeutic effect?
Correct Answer: C
Rationale: C. RBC count within normal range (4-5.5/mm³) suggests stable red cell production, a positive sign. A. Low hemoglobin indicates anemia, not improvement. B. Elevated WBC suggests active disease or infection. D. Low platelets show ongoing thrombocytopenia, not a therapeutic effect.
Extract:
4-year-old child
Question 5 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: D
Rationale:
Topical anesthetic reduces pain, promoting atraumatic care. A. Parent presence comforts the child. B. Detailed explanations 3 hours prior increase anxiety. C. Playroom procedures create negative associations.