ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
Toddler who is cognitively impaired
Question 1 of 5
A nurse is evaluating the pain level of a toddler who is cognitively impaired to a non-pharmacologic 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. The FLACC scale is specifically designed for assessing pain in non-verbal or cognitively impaired individuals, such as toddlers. It evaluates five categories: Face, Legs, Activity, Cry, and Consolability. Each category is scored from 0-2, and the total score helps gauge the pain level. This scale is effective for assessing pain in individuals who cannot verbalize their discomfort.
Visual analog (
B) and FACES (
C) scales rely on the patient's ability to understand and communicate their pain level, which may not be suitable for a cognitively impaired toddler. The CRIES scale (
D) is used for newborns and infants, not toddlers.
Extract:
School-age child
Question 2 of 5
A nurse is teaching the parent of a school-age child about bicycle safety. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: "Your child should walk the bicycle through intersections." This instruction is crucial for bicycle safety as walking the bicycle through intersections reduces the risk of accidents with vehicles and pedestrians. It allows the child to have better control and visibility in potentially dangerous areas.
Choice B is incorrect because keeping the bicycle 3 feet from the curb is not a recommended safety practice as it may impede traffic flow and increase the risk of accidents.
Choice C is incorrect as the height of the child's feet off the ground while seated on the bicycle is not directly related to safety.
Choice D is incorrect because riding the bicycle against the flow of traffic is dangerous and increases the risk of collisions with oncoming vehicles.
Extract:
Preschooler with autism spectrum disorder
Question 3 of 5
A nurse is planning care for a preschooler who has autism spectrum disorder. Which of the following interventions should the nurse include in the plan?
Correct Answer: A
Rationale: The correct answer is A: Establish a reward system. This intervention is appropriate for a preschooler with autism spectrum disorder as it can help reinforce desired behaviors through positive reinforcement. Rewards can motivate the child to engage in activities and improve social interactions. Holding the child during assessments (
B) may not be suitable as it can cause sensory overload. Maintaining extended eye contact (
C) can be challenging for children with autism and may cause discomfort. Engaging in cooperative play (
D) may also be difficult for a child with autism due to social communication challenges.
Extract:
Child 2 hr postoperative following a cardiac catheterization with dressing saturated with blood
Question 4 of 5
A nurse is assessing a child who is 2 hr postoperative following a cardiac catheterization and finds the dressing is saturated with blood. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Apply pressure just above the insertion site. This is the first step because it helps control the bleeding and prevent further blood loss. By applying pressure, the nurse can help stabilize the child's condition before taking further actions.
B: Monitoring the pulse distal to the insertion site is important but not the first priority. Controlling the bleeding should come first.
C: Obtaining vital signs is important, but addressing the bleeding takes precedence to ensure the child's safety.
D: Reinforcing the dressing can be done after applying pressure to control the bleeding.
In summary, applying pressure above the insertion site is the immediate priority to address the saturated dressing and control bleeding.
Extract:
Child in the acute stage of nephrotic syndrome
Question 5 of 5
A nurse is planning care for a child who is in the acute stage of nephrotic syndrome. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: B
Rationale: The correct answer is B: Weigh the child once per day. In nephrotic syndrome, monitoring daily weight is crucial as it reflects fluid retention or loss, a key indicator of disease progression. Weight gain may indicate edema, while weight loss may indicate dehydration. This intervention helps assess the effectiveness of treatment and guides adjustments to fluid and medication management. Increasing fluid intake (
A) is not recommended as the child may already have fluid retention. Positioning the child supine at bedtime (
C) is unnecessary and may not be comfortable for the child. Limiting calorie intake (
D) is not the priority in the acute stage; maintaining adequate nutrition is important.