ATI RN
ATI RN Pediatric Nursing 2023 II Questions
Extract:
Question 1 of 5
A nurse is caring for a 1-year-old child who has been hospitalized. Which of the following items in the child's room is a common source of health care-associated infection?
Correct Answer: B
Rationale: Unopened bottles of formula are not typically sources of healthcare-associated infections. Bedside computer keyboards can harbor pathogens and serve as fomites for transmitting infections. Disposable diapers are not typically sources of healthcare-associated infections if used appropriately. Protective plastic gowns are not typically sources of healthcare-associated infections if used appropriately.
Question 2 of 5
A nurse is preparing a child for a lumbar puncture. In which of the following positions should the child be placed for the procedure?
Correct Answer: B
Rationale: Placing the child prone (face down) is not appropriate for a lumbar puncture. Placing the child in a lateral position (lying on their side) with knees flexed is the correct position for a lumbar puncture as it allows for optimal access to the lumbar area. Placing the child supine (on their back) is not ideal for a lumbar puncture as it does not provide the necessary access to the lumbar area. Placing the child in semi-Fowler's position (lying on their back with the head of the bed elevated) is not typically used for lumbar puncture procedures.
Question 3 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: Visual acuity should be assessed for each eye separately first, then both eyes together to detect any differences between the eyes. The nurse should position the child 3 meters (10 feet) from the chart. If the child wears glasses, they should be tested with and without their glasses to assess visual acuity accurately. A tumbling E chart, where the child identifies the direction of the E (up, down, left, or right), is commonly used for assessing visual acuity in young children who may not yet know letters.
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: Holding urine for extended periods may indicate urinary retention, which is not the desired outcome of treatment for enuresis. Drinking less may not necessarily indicate treatment effectiveness and could lead to dehydration. Waking to urinate in response to the alarm indicates improved bladder control and responsiveness to conditioning therapy for enuresis. Kegel exercises primarily target pelvic floor muscles and may not directly address the underlying causes of enuresis.
Extract:
History and Physical: 5-year-old male, 18 kg (39.7 lb), Admitted following a motor-vehicle crash Surgical procedure: L leg open reduction and fixation, L arm closed reduction and fixation
Question 5 of 5
A nurse is caring for a child who is 2 hr postoperative. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: While assessing pain level is important, ensuring adequate perfusion and circulation takes precedence. Rechecking the child's temperature may be necessary but is not as immediately critical as assessing pedal pulses. Determining the child's sedation level is important for monitoring postoperative status but is not the priority at this time. Assessing the child's pedal pulses is crucial following a motor-vehicle crash and surgical procedures involving the lower extremities. It helps to evaluate the perfusion and circulation to the extremities, especially after a leg open reduction and fixation surgery.