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: The correct answer is B: Bedside computer keyboard. The bedside computer keyboard can be a common source of healthcare-associated infections due to frequent handling by healthcare providers without proper disinfection, leading to the transfer of pathogens. Unopened bottles of formula (
A) are not typically a source of infection as long as they are handled properly. Disposable diapers (
C) are used for personal hygiene and do not pose a significant risk if disposed of properly. Protective plastic gowns (
D) are designed to prevent the spread of infections and are not a common source of infection themselves.
Question 2 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: B
Rationale: The correct answer is B: Provide a doll for your 3-year-old child to imitate parental behaviors. This is the best choice as it allows the older sibling to role-play and learn about caregiving, fostering a sense of involvement and preparation for the new sibling.
Choice A is incorrect as it may create unnecessary anxiety for the child.
Choice C may oversimplify the situation and not adequately prepare the child.
Choice D is incorrect as it is important to prepare the older sibling before the arrival of the newborn.
Question 3 of 5
A nurse is planning postoperative care for an adolescent following scoliosis repair with spinal instrumentation. Which of the following actions should the nurse include in the plan of care?
Correct Answer: D
Rationale: The correct answer is D: Ensure two nurses logroll the adolescent every 2 hr. This is important post-scoliosis repair with spinal instrumentation to prevent complications like pressure ulcers or injury to the surgical site. Logrolling helps maintain alignment of the spine and reduces strain on the surgical area. Offering sips of water 4 hr postop (
A) may not be appropriate due to anesthesia effects. Ambulating 12 hr postop (
B) may be too early and risky. Maintaining the bed at a 30° angle (
C) is not specific to spinal surgery care.
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: The correct answer is C: Apply a topical anesthetic cream 1 hr prior to the procedure. This action ensures atraumatic care by numbing the area of the venipuncture, reducing pain and anxiety for the child. Asking the parent to leave (
A) may increase the child's anxiety. Performing the procedure in a playroom (
B) may not provide the necessary sterile conditions. Explaining the procedure to the child in detail hours before (
D) may not address the immediate anxiety and pain during the venipuncture.
Question 5 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: The correct answer is B: Varicella. At 12 months, infants should receive the first dose of the Varicella vaccine to protect against chickenpox. This timing is crucial as chickenpox can be severe in young children. A: Inactivated polio virus is typically given at 2 months, 4 months, 6-18 months, and 4-6 years. C: Human papillomavirus vaccine is usually given to adolescents around 11-12 years. D: Hepatitis B vaccine is given at birth, 1-2 months, and 6-18 months.
Therefore, B is the correct choice for the 12-month immunization schedule.