ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
Question 1 of 5
A nurse is assessing a school-age child who is receiving morphine. For which of the following adverse effects should the nurse monitor?
Correct Answer: A
Rationale:
Correct Answer: A (Bradypnea)
Rationale:
1. Morphine is an opioid analgesic that can cause respiratory depression.
2. Bradypnea (slow breathing) is a common adverse effect of opioids.
3. Monitoring for bradypnea is crucial to prevent respiratory compromise and overdose.
4. Stevens-Johnson syndrome, prolonged wound healing, and hypertension are not typical adverse effects of morphine.
5. Bradypnea is the priority adverse effect to monitor due to its life-threatening nature.
Extract:
A nurse is preparing to perform a venipuncture on a 4-year-old child.
Question 2 of 5
Which of the following actions should the nurse take to ensure atraumatic care?
Correct Answer: D
Rationale: The correct answer is D: Apply a topical anesthetic cream 1 hour prior to the procedure. This action promotes atraumatic care by minimizing pain and discomfort for the child during the procedure. Applying the cream in advance allows time for the anesthetic to take effect, reducing the child's anxiety and fear. It also demonstrates the nurse's consideration for the child's well-being and comfort.
Other choices are incorrect because:
A: Asking the child's parent to leave the room may increase the child's anxiety and make the experience more traumatic.
B: Performing the procedure in the playroom may not necessarily reduce the trauma if the child is still experiencing pain.
C: Explaining the procedure in detail 3 hours prior may cause unnecessary worry and anxiety for the child, increasing trauma.
Overall, applying a topical anesthetic cream is the most effective and compassionate approach to ensuring atraumatic care for the child.
Extract:
Question 3 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.
Extract:
A nurse is preparing a child for a lumbar puncture.
Question 4 of 5
In which of the following positions should the child be placed for the procedure?
Correct Answer: B
Rationale: The correct answer is B: Lateral. Placing the child in a lateral position is ideal for the procedure as it allows for easy access to the targeted area while providing stability and comfort. Lateral positioning also minimizes the risk of injury and maximizes the effectiveness of the procedure.
A: Semi-Fowler's position is not suitable as it may not provide adequate access or stability.
C: Supine position is not ideal for certain procedures that require a lateral approach.
D: Prone position is not appropriate as it does not allow for proper access or visibility of the target area.
Extract:
A nurse is providing discharge teaching to a parent of a child who has juvenile idiopathic arthritis and a new prescription for prednisone.
Question 5 of 5
Which of the following statements should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Monitor your child for indications of infection. This statement is important because certain medications may weaken the immune system, increasing the risk of infections. Monitoring for signs of infection allows for early detection and treatment.
Choice B is incorrect because limiting potassium-rich foods is not typically necessary with this medication.
Choice C is incorrect as this medication does not typically stimulate a growth spurt.
Choice D is incorrect because discontinuing the medication without consulting a healthcare provider can be harmful.