ATI RN
ATI RN Pediatric Nursing 2023 Exam 3 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: A. Tying restraints to the side rails poses a risk of injury to the child and is not a recommended practice. B. Renewing the prescription for restraints every 48 hours is important, but it does not directly address the proper application of restraints. C. Securing restraints with a quick-release knot allows for quick removal in case of emergency and is the correct method for applying restraints. D. Assessing the child every 4 hours while in restraints is important, but it does not address the proper application of restraints; assessments should occur more frequently, typically every 2 hours.
Question 2 of 5
A nurse is teaching a group of parents about childhood immunizations. The nurse should identify that infants should receive the first dose of which of the following immunizations at 12 months of age?
Correct Answer: B
Rationale: A. The first dose of inactivated poliovirus vaccine is typically administered at 2 months of age, not at 12 months. B. The first dose of varicella (chickenpox) vaccine is recommended at 12 months of age. C. Human papillomavirus vaccine is typically administered starting at age 9-11 years, not at 12 months. D. The first dose of hepatitis B vaccine is typically administered at birth, not at 12 months.
Question 3 of 5
A nurse is caring for a child who has sickle cell anemia. Which of the following findings is the priority for the nurse to report to the provider?
Correct Answer: D
Rationale: A. Kyphosis, an excessive outward curvature of the spine, may be a complication of sickle cell disease but is not typically considered a priority over acute neurological symptoms. B. Constipation is a common symptom in sickle cell disease due to vaso-occlusive events, but it is not an acute concern unless severe or accompanied by other symptoms. C. Enuresis, or bedwetting, may occur in children with sickle cell disease due to changes in renal function but is not typically considered a priority over acute neurological symptoms. D. Facial twitching could be indicative of a seizure or other neurological complication, which is a serious concern requiring immediate attention, especially in a child with sickle cell disease who may be at increased risk for neurological complications due to the increased risk of stroke.
Therefore, it is the priority finding to report to the provider.
Question 4 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: C
Rationale: A. Asking the child's parent to leave the room may increase the child's anxiety and make the procedure more traumatic. B. Performing the procedure in the playroom may not necessarily ensure atraumatic care as the environment may still be unfamiliar and anxiety-provoking for the child. C. Applying a topical anesthetic cream helps numb the area, reducing the pain and discomfort associated with venipuncture, thus promoting atraumatic care. D. Explaining the procedure in detail to the child 3 hours prior to the procedure may not be effective in reducing the child's anxiety at the time of the procedure and may increase anticipation-related stress.
Question 5 of 5
A nurse is assessing a preschool-age child who is in the immediate postoperative period following a tonsillectomy. Which of the following assessment findings is the priority?
Correct Answer: D
Rationale: A. Increasing throat pain is expected post-tonsillectomy and can be managed with pain medication. While important to address, it is not the priority in this situation. B. Refusing clear liquids might indicate discomfort or difficulty swallowing, but it is not as immediately concerning as other symptoms. C. Crying often may be due to discomfort or fear but is not as indicative of potential complications as frequent swallowing. D. Frequent swallowing could indicate bleeding, a potential complication post-tonsillectomy, and requires immediate attention to prevent further complications.