ATI RN
ATI RN Pediatric Nursing 2023 Exam 3 Questions
Extract:
Question 1 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: The correct answer is D: The child swallows frequently. This is the priority assessment finding post-tonsillectomy as it may indicate bleeding, which can be life-threatening. Swallowing frequently can suggest blood pooling at the surgical site, leading to hemorrhage. A prompt assessment and intervention are crucial to prevent further complications.
Choices A, B, and C are not as high priority because throat pain, refusal of clear liquids, and crying are common after tonsillectomy and do not pose immediate life-threatening risks.
Question 2 of 5
A nurse is preparing to assess a 4-year-old child's visual acuity. Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: The correct answer is D, using a tumbling E chart for the assessment. This type of chart is commonly used for young children due to its simplicity - the child is asked to identify the direction the "E" is facing. This helps assess visual acuity accurately in children who may not yet know letters. Assessing both eyes together first (choice
A) may lead to inaccuracies. Positioning the child 4.6 meters away (choice
B) is too far for a child's assessment. Testing without glasses first (choice
C) may not provide an accurate baseline. Overall, using a tumbling E chart is the most appropriate method for assessing visual acuity in a 4-year-old child.
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: C
Rationale: The correct answer is C: Apply a topical anesthetic cream 1 hr prior to the procedure. This action is essential for atraumatic care as it helps to numb the area where the venipuncture will be performed, reducing the child's discomfort and anxiety during the procedure. Applying the cream an hour before the procedure allows adequate time for the anesthetic effect to take place.
Other choices are incorrect because:
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 provide a sterile environment necessary for venipuncture.
D: Explaining the procedure in detail to the child 3 hours prior may cause unnecessary anxiety and fear, as children may not fully understand the details or remember them after such a long period.
Question 4 of 5
A nurse is caring for a child who is receiving conditioning therapy for enuresis. Which of the following statements by the child's parent indicate the treatment is effective?
Correct Answer: C
Rationale: The correct answer is C. This statement indicates that the child is responding to the conditioning therapy for enuresis by waking up and going to the bathroom when the alarm goes off, which is a positive sign of behavioral conditioning. This response shows that the child is becoming more aware of their bladder fullness and is able to respond to the alarm by voiding. The other choices are incorrect because:
A) Holding urine for 15 minutes before going to the bathroom is not necessarily indicative of improvement in enuresis treatment.
B) Drinking less may not be a positive sign and could lead to dehydration.
D) Kegel exercises are not typically used for enuresis treatment in children.
Question 5 of 5
A nurse is obtaining informed consent for an adolescent who is scheduled for a cardiac catheterization. The adolescent's guardian states, 'I don't understand why they need to do this procedure.' Which of the following actions should the nurse take?
Correct Answer: D
Rationale:
Correct
Answer: D - Notify the provider who is scheduled to perform the procedure.
Rationale:
1. The provider performing the procedure is best suited to explain the necessity and details of the cardiac catheterization to address the guardian's concerns.
2. The provider can offer additional information, clarify any doubts, and ensure that the guardian makes an informed decision.
3. Involving the provider maintains a patient-centered approach and ensures comprehensive understanding before proceeding with the procedure.
Summary of Other
Choices:
A: Requesting assistance from the anesthesiologist may not directly address the guardian's concerns about the procedure.
B: Explaining the procedure is essential, but the provider performing the procedure is the most appropriate person to provide detailed information.
C: Witnessing the adolescent's signature is important but does not address the guardian's lack of understanding.