ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
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: C
Rationale: The correct answer is C: Secure the restraints with a quick-release knot. This is crucial for the safety of the child as quick-release knots allow for easy and immediate removal in case of emergency or if the child becomes distressed. Tying restraints to the side rails (
A) could lead to injury if the child tries to get free. Requesting prescription renewal every 48 hr (
B) is important but not the immediate action needed. Assessing the child every 4 hr (
D) is essential, but securing the restraints with a quick-release knot takes priority for immediate safety.
Extract:
Nurses' Notes (0700 hrs): 7-year-old client who weighs 18.1 kg (39.9 lb) admitted with a UTI. Child reports pain and burning upon urination and feeling like they need to go to the bathroom all the time. Child's guardian reports the client has been incontinent of urine the past 2 nights and that the urine has a very strong odor. The child appears uncomfortable and is frequently shifting positions in bed. The client has been crying intermittently and is reluctant to drink fluids. The guardian mentions that the child has been more irritable and has a decreased appetite. The child has a history of recurrent UTIs, with the last episode occurring 6 months ago; Vital Signs (0715 hrs): Heart rate: 80/min, Temperature: 38°C (100.4°F), Respiratory rate: 22/min, Blood pressure: 106/65 mm Hg; A nurse is caring for a 7-year-old child who has a urinary tract infection (UTI) in the pediatric unit.
Question 2 of 5
For each of the following interventions, click to specify if the potential intervention is anticipated or contraindicated for the client.
| Finding | Anticipated | Contraindicated |
|---|---|---|
| Advise child's guardian about the use of sunscreen | ||
| Educate the child about proper perineal hygiene | ||
| Administer salicylic acid for pain and fever | ||
| Ensure the child receives a maximum of 1,200 mL/day of fluid | ||
| Administer sulfamethoxazole and trimethoprim |
Correct Answer: B,E
Rationale: [1, 0, 0, 0, 1]
The correct answer is B,E. For the intervention "Educate the child about proper perineal hygiene" , it is anticipated as it promotes personal hygiene. Administering sulfamethoxazole and trimethoprim (E) is also anticipated as it is a common antibiotic for various infections. Advising about sunscreen (
A) is not relevant to the given scenario. Administering salicylic acid (
C) is contraindicated due to its potential side effects in children. Ensuring fluid intake (
D) is not specified in the context provided.
Extract:
Question 3 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: A
Rationale: The correct answer is A: Apply a topical anesthetic cream 1 hr prior to the procedure. This is the correct action to ensure atraumatic care because it helps reduce the pain and discomfort associated with the venipuncture procedure for the child.
Topical anesthetic cream numbs the skin, making the procedure less painful and frightening for the child. This approach aligns with the principles of providing atraumatic care by minimizing pain and anxiety during medical procedures.
Other choices are incorrect because:
B: Performing the procedure in the playroom may provide a distraction but does not address the pain management aspect.
C: Asking the parent to leave may increase the child's anxiety and sense of abandonment during the procedure.
D: Explaining the procedure in detail to the child 3 hr prior does not directly address pain management during the actual procedure.
Extract:
A nurse is caring for an infant who has heart failure and vomited following administration of digoxin.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Administer the next dose as prescribed. This is the appropriate action because it follows the healthcare provider's orders, ensuring the patient receives the intended treatment. Increasing fluid intake (choice
A) may be beneficial in some cases but is not the immediate action required here. Giving an antiemetic (choice
B) may be necessary if the patient is experiencing nausea or vomiting, but it does not address the administration of the prescribed medication. Mixing the medication with formula (choice
D) is incorrect as it may alter the medication's effectiveness or cause interactions with the formula. Overall, following the healthcare provider's instructions (choice
C) is the most appropriate and safest action in this scenario.
Extract:
Question 5 of 5
A nurse is teaching the guardian of a newborn about how to prepare their 3-year-old child to meet their new sibling. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: The correct answer is C: Provide a doll for your 3-year-old child to imitate parental behaviors.
Rationale:
1. Providing a doll allows the child to practice parental behaviors, fostering a sense of involvement and responsibility.
2. Role-playing with a doll can help the child understand the concept of caregiving and prepare them for the arrival of the new sibling.
3. It promotes a positive and interactive way for the child to learn about caring for a baby and adjusting to the new family dynamic.
Other
Choices:
A: Incorrect. Telling the child they will have a new playmate may not adequately prepare them for the responsibilities and changes that come with a new sibling.
B: Incorrect. Preparing the child for changes in all routines may cause unnecessary anxiety and may not be specific to the sibling arrival.
D: Incorrect. Waiting for the newborn to arrive before transitioning the 3-year-old to a bed is unrelated to preparing the child for the new sibling.