ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is postoperative following placement of a halo vest to manage a cervical vertebral fracture. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Reposition the client using a turning sheet. This is important to prevent pressure injuries and promote circulation. Turning the client helps prevent complications such as pressure ulcers or respiratory issues. Encouraging flexion and extension of the neck (choice
A) is contraindicated with a halo vest as it can disrupt the stability provided by the device. Tightening the screws on the halo device (choice
B) should only be done by a healthcare provider and specific instructions given. Assessing pin sites for infection (choice
C) is important, but not as crucial as repositioning for overall client well-being.
Question 2 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: A
Rationale: The correct answer is A: Apply a topical anesthetic cream 1 hr prior to the procedure. This is the correct action to ensure atraumatic care because it helps reduce the pain and discomfort associated with the venipuncture procedure for the child.
Topical anesthetic cream numbs the skin, making the procedure less painful and frightening for the child. This approach aligns with the principles of providing atraumatic care by minimizing pain and anxiety during medical procedures.
Other choices are incorrect because:
B: Performing the procedure in the playroom may provide a distraction but does not address the pain management aspect.
C: Asking the parent to leave may increase the child's anxiety and sense of abandonment during the procedure.
D: Explaining the procedure in detail to the child 3 hr prior does not directly address pain management during the actual procedure.
Extract:
A nurse is providing education to a client.
Question 3 of 5
Which of the following nonverbal techniques should the nurse use to enhance the importance of the education?
Correct Answer: C
Rationale: The correct answer is C: Smile, nod, touch the client's hand. This nonverbal technique enhances the importance of education by showing empathy, engagement, and support. Smiling conveys warmth and friendliness, nodding indicates understanding and attentiveness, and touching the client's hand can create a sense of connection and trust. These nonverbal cues help to build rapport and encourage the client to be more receptive to the information being shared.
Choice A is incorrect because checking messages on the cell phone is distracting and shows lack of interest.
Choice B is incorrect as crossing arms and avoiding eye contact can signal defensiveness or disinterest.
Choice D is incorrect as leaning over the chair may come across as too casual and unprofessional.
Extract:
A nurse is teaching the parent of a school-age child about bicycle safety.
Question 4 of 5
Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Your child should walk the bicycle through intersections. This instruction is crucial for safety as walking the bicycle through intersections reduces the risk of accidents. By walking the bicycle, the child can better navigate the intersection and avoid collisions with vehicles or pedestrians.
Choice A is incorrect because the child's feet should be able to touch the ground easily for stability.
Choice B is incorrect as children should always ride their bicycles in the same direction as traffic flow to prevent accidents.
Choice D is incorrect because keeping the bicycle at least 3 feet from the curb is not necessary and may obstruct traffic flow.
Extract:
Nurses' Notes: 0930: Parent presents child to provider's office. Parent reports the child has had a fever for 2 days and that the child has cried more than usual. Parent also reports the child has had a decreased appetite for the last 24 hr. Child febrile and lethargic. 0945: Notified provider of parent reports and child's fever. New prescriptions received. 1000: Urine sample obtained via sterile straight catheter. Medical History: 0930: Three urinary tract infections over the past year treated with antibiotics. Diagnosed at 6 months old with vesicoureteral reflux. Provider Prescriptions: 0945: Obtain urine sample for urinalysis and culture and sensitivity via sterile straight catheter. Vital Signs: 0930: Temperature 38.4° C (101.1 F), Heart rate 128/min, Respiratory rate 28/min. Diagnostic Results: 1030: Urinalysis: Appearance: cloudy and dark amber (clear), Specific gravity 1.035 (1.005 to 1.030), Leukocyte esterase: positive (negative), Nitrites: present (none), WBCS: 10 (0 to 4).
Question 5 of 5
The child is at risk for developing __ and __.
Correct Answer: A,B
Rationale: The correct answer is A,B. Renal scarring and pyelonephritis are common complications of urinary tract infections (UTIs) in children. UTIs can lead to inflammation and infection of the kidneys (pyelonephritis) and if left untreated, can cause permanent damage to the kidneys resulting in renal scarring. Acute glomerulonephritis, nephrotic syndrome, and polycystic kidney disease are not typically associated with UTIs in children and are different conditions with distinct etiologies and presentations.
Therefore, choices C, D, and E are incorrect in this context.