ATI RN
RN ATI Pediatric Nursing 2023 with NGN Questions
Extract:
Question 1 of 5
A nurse is evaluating the pain level of a toddler who is cognitively impaired to a nonpharmacologic intervention. Which of the following pain scales should the nurse use to evaluate the toddler's pain level?
Correct Answer: A
Rationale: The correct answer is A: FLACC. This scale is suitable for evaluating pain in toddlers and individuals with cognitive impairments as it assesses Facial expression, Leg movement, Activity level, Cry, and Consolability. It is effective in capturing pain cues in nonverbal or limited verbal individuals. The other options, B: Visual Analog Scale, C: CRIES, and D: FACES, are not as appropriate for toddlers with cognitive impairments due to their reliance on self-reporting or limited applicability in this population. The FLACC scale is specifically designed to assess pain in nonverbal or cognitively impaired individuals, making it the most suitable choice in this scenario.
Extract:
A nurse is caring for an adolescent who is admitted with a vaso-occlusive crisis. History and Physical: 15-year-old adolescent admitted for a vaso-occlusive crisis. The parent reports low-grade fever and has vomited for 3 days. The adolescent reports having right-sided and lower back pain. They also report hands and right knee are painful and swollen. The client reports pain as 8 on a scale of 0 to 10. Vital Signs: Temperature: 37.8°C (100°F). Heart rate: 100/min. Blood pressure: 110/72 mmHg. Respiratory rate: 20/min. Oxygen saturation: 95% on room air. Assessment: Awake, alert, and oriented ×3. Yellow sclera of eyes noted bilaterally. Right upper quadrant tender to palpation. Hands painful to touch and swollen bilaterally. Right knee is swollen, warm to palpation, and the client reports pain as 8 on a scale of 0 to 10. Client is tearful and grimacing during the examination. Laboratory Results: Hct: 28% (32% to 44%). Hgb: 6 g/dL (10 to 15.5 g/dL). WBC count: 20,000/mm³ (6,200 to 17,000/mm³). ALT: 50 units/L (4 to 36 units/L). AST: 62 units/L (10 to 40 units/L). Total bilirubin: 3.0 mg/dL (0.3 to 1.0 mg/dL). Chest radiographic examination indicates cardiomegaly and left flow murmur.
Question 2 of 5
The nurse is planning care for the adolescent. Select the 5 interventions the nurse should include:
Correct Answer: A,B,C,G
Rationale:
Correct Answer: A, B, C, G
Rationale:
A: Instruct the parent to ensure the pneumococcal vaccine is current to prevent pneumococcal infections in the adolescent.
B: Monitor oxygen saturation continuously to assess respiratory status and detect any potential respiratory issues.
C: Administer folic acid as prescribed to support the adolescent's growth and development.
G: Give Oral Hydroxyurea to manage conditions like sickle cell anemia in adolescents.
Incorrect
Choices:
D: Applying cold compresses to the affected joints is not relevant to the care of an adolescent unless specifically indicated for a certain condition.
E: Placing the client on strict bed rest is not typically recommended for adolescents as it can lead to deconditioning and other complications.
F: Administering meperidine (Demerol) for pain is not a standard intervention for adolescents and may have adverse effects.
Extract:
A nurse is caring for a 3-year-old child. Nurse's Notes: 0730: Child presents to the emergency department (ED). Guardians report the child woke up coughing with a low-grade fever. Child appears alert and restless in guardian's arms. Respirations easy, no cough noted. 0800: Child became agitated. Hoarse cry noted with audible inspiratory stridor. Barking, nonproductive cough present. Vital Signs: 0730: Tympanic Temperature: 38.1°C (100.6° F). Heart Rate: 95/min. Respiratory Rate: 20/min. Oxygen Saturation: 98% on room air. 0800: Tympanic Temperature: 38.2°C (100.1°F). Heart Rate: 112/min. Respiratory Rate: 24/min. Oxygen Saturation: 96% on room air.
Question 3 of 5
The nurse is planning care for the client. For each of the following findings, click to specify if the finding is consistent with acute laryngotracheobronchitis or pneumonia.
| Assessment finding | Acute Laryngotracheobronchitis | Pneumonia |
|---|---|---|
| Irritability | ||
| Cough (barking at times) | ||
| Stridor | ||
| Temperature |
Correct Answer: A,B,C
Rationale:
To determine if the finding is consistent with acute laryngotracheobronchitis or pneumonia, we need to consider the characteristic symptoms of each condition.
A: Irritability is a common symptom seen in both conditions due to respiratory distress.
B: Cough is specific to acute laryngotracheobronchitis, known as croup.
C: Stridor, a high-pitched sound on inspiration, is a hallmark of acute laryngotracheobronchitis.
D: Temperature is a non-specific symptom and can be present in both conditions.
Therefore, the correct answer is A, B, C as irritability, cough , and stridor are more indicative of acute laryngotracheobronchitis compared to pneumonia.
Extract:
Question 4 of 5
A nurse is teaching the parent of an infant who has a new diagnosis of heart failure about nutrition. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Place the infant in an upright position during feeding. This position helps prevent regurgitation and aspiration, common issues in infants with heart failure. Placing the infant upright also facilitates easier breathing and digestion. Option A is incorrect because rigid feeding schedules may not be suitable for infants with heart failure. Option B does not address the specific needs of an infant with heart failure. Option C is inappropriate as it may cause distress to the infant and worsen their condition.
Question 5 of 5
A nurse is evaluating the pain level of a toddler who is cognitively impaired to a nonpharmacologic intervention. Which of the following pain scales should the nurse use to evaluate the toddler's pain level?
Correct Answer: A
Rationale: The correct answer is A: FLACC. This scale is suitable for evaluating pain in toddlers and individuals with cognitive impairments as it assesses Facial expression, Leg movement, Activity level, Cry, and Consolability. It is effective in capturing pain cues in nonverbal or limited verbal individuals. The other options, B: Visual Analog Scale, C: CRIES, and D: FACES, are not as appropriate for toddlers with cognitive impairments due to their reliance on self-reporting or limited applicability in this population. The FLACC scale is specifically designed to assess pain in nonverbal or cognitively impaired individuals, making it the most suitable choice in this scenario.