ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
Client postoperative following placement of a halo vest to manage a cervical vertebral fracture
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: Pin site care is crucial to prevent infection. The nurse should assess the pin sites regularly for signs of infection, such as redness, swelling, drainage, or increased pain. A. Using a turning sheet could disturb spinal alignment. B. Tightening screws without direction can harm the client. C. Neck movement is contraindicated with a halo vest.
Extract:
Child receiving peritoneal dialysis with minimal dialysate outflow
Question 2 of 5
A nurse is providing peritoneal dialysis to a child and observes there is minimal dialysate outflow at the end of the outflow time. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Changing position may reposition the catheter, improving outflow. A. Fluid intake doesn't fix outflow. B. Longer dwell doesn't address obstruction. D. Bruit isn't relevant here.
Extract:
Adolescent with an NG tube
Question 3 of 5
A nurse is preparing to administer an enteral feeding to an adolescent who has an NG tube. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale:
Correct Answer: A. Checking pH confirms NG tube placement, ensuring safe feeding. B. Attaching tubing comes after verification. C. Flushing follows placement check. D. Rate setting is last.
Extract:
Question 4 of 5
A nurse is preparing to administer a prescribed medication to a toddler whose parent is nearby. Which of the following actions should the nurse take to identify the toddler?
Correct Answer: B
Rationale:
Correct Answer: B. Checking the ID band against the record is the standard for safe identification. A. Another nurse isn’t primary verification. C. Room numbers aren’t reliable. D. Parents are secondary to ID band checks.
Extract:
4-year-old child
Question 5 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: D
Rationale:
Topical anesthetic reduces pain, promoting atraumatic care. A. Parent presence comforts the child. B. Detailed explanations 3 hours prior increase anxiety. C. Playroom procedures create negative associations.