ATI RN
ATI RN Pediatric Nursing 2023 Exam 3 Questions
Extract:
Question 1 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 2 of 5
A nurse is providing discharge teaching to the parents of a school-age child following surgery and cast application to the right forearm. Which of the following information is the priority for the nurse to include?
Correct Answer: C
Rationale: The correct answer is C: Monitor for pallor or swelling in the child's affected hand. This is the priority information because it can indicate complications such as impaired circulation or compartment syndrome, which require immediate medical attention to prevent permanent damage. Skin irritation at the cast edges (choice
A) can be addressed with padding adjustments but is not as urgent. Restricting strenuous activities (choice
B) is important but not the priority. Using a hair dryer on cool setting to relieve itching (choice
D) can cause burns and should be avoided.
Question 3 of 5
A nurse is caring for a 5-year-old child who has acute poststreptococcal glomerulonephritis. Which of the following findings should indicate to the nurse that treatment has been effective?
Correct Answer: C
Rationale: The correct answer is C: Clear urine. In acute poststreptococcal glomerulonephritis, the kidneys become inflamed and may present with hematuria and proteinuria. Clear urine indicates resolution of these symptoms, reflecting improved kidney function. A: Temperature and D: Odorless urine are unrelated to the condition. B: No pain with voiding is important but not a direct indicator of treatment effectiveness. Other choices are not relevant.
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 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 5 of 5
A nurse is providing teaching to a parent of a child who has HIV. Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: A
Rationale:
Correct Answer: A. "I will ensure that my child is tested for tuberculosis every year."
Rationale: This statement shows understanding as children with HIV are at increased risk for tuberculosis. Regular testing is essential for early detection and treatment, preventing complications.
Summary of other choices:
B. Incorrect. Risk of transmission doesn't decrease after 2 weeks; consistent adherence to medication is crucial.
C. Incorrect. Doubling medications without healthcare provider's guidance can be harmful.
D. Incorrect. Immunizations are vital for children with HIV and should not be repeated in remission.