ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
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: D
Rationale: The correct answer is D: FLACC. The FLACC scale is specifically designed for assessing pain in nonverbal or cognitively impaired individuals, such as toddlers. It assesses five categories: Face, Legs, Activity, Cry, and Consolability. This scale is ideal for evaluating pain in this population as it considers behavioral cues rather than verbal communication.
A: CRIES scale is used for neonates, not toddlers.
B: FACES scale is more appropriate for older children who can indicate their pain using facial expressions.
C: Visual analog scale requires the ability to understand and mark on a scale, which may not be suitable for cognitively impaired toddlers.
E, F, G: No information provided.
Question 2 of 5
A nurse is caring for a child who has sickle cell anemia. Which of the following findings is the priority for the nurse to report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Facial twitching. This finding is concerning as it may indicate a neurological complication, such as a stroke, which can be life-threatening in sickle cell anemia. The nurse should report this immediately for further evaluation and intervention. Kyphosis (
B), constipation (
C), and enuresis (
D) are common issues in sickle cell anemia but are not immediate priorities compared to potential neurological complications.
Extract:
A nurse is providing peritoneal dialysis to a child and observes there is minimal dialysate outflow at the end of the outflow time.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Instruct the child to change position. This action helps prevent complications such as clotting or kinking of the catheter during peritoneal dialysis. Changing positions can improve fluid flow and ensure proper dialysis efficiency. Increasing dwell time (choice
A) may lead to complications. Increasing oral fluid intake (choice
C) is important but not the immediate action needed. Assessing for a bruit (choice
D) is not relevant to peritoneal dialysis.
Extract:
A nurse is providing teaching to a parent of a child who has HIV.
Question 4 of 5
Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I will ensure that my child is tested for tuberculosis every year." This statement indicates understanding of teaching because it shows the parent's awareness of the importance of regular testing for tuberculosis due to the child's condition. Testing for tuberculosis is crucial for early detection and treatment in immunocompromised individuals.
Choice A is incorrect because childhood immunizations do not need to be repeated once in remission.
Choice B is incorrect because the risk of transmission of HIV is not solely dependent on being on zidovudine for 2 weeks.
Choice D is incorrect because doubling medications without proper guidance can be harmful.
Extract:
A nurse is reviewing the complete blood count results for a 4-year-old child who is receiving treatment for acute lymphoblastic leukemia.
Question 5 of 5
Which of the following findings should indicate to the nurse that the treatment is having a therapeutic effect?
Correct Answer: B
Rationale: The correct answer is B: RBC count 5/mm³ (4 to 5.5/mm³). A therapeutic effect in this case would be an improvement in the red blood cell count, indicating better oxygen-carrying capacity. Having a value within the normal range (4 to 5.5/mm³) is a positive sign of treatment efficacy.
Incorrect answers:
A: Hemoglobin 6.8 g/dL is low and indicates anemia, not a therapeutic effect.
C: WBC count of 15,000/mm³ is high, indicating infection or inflammation, not a therapeutic effect.
D: Platelet count of 98,000/mm³ is low and could indicate a clotting disorder, not a therapeutic effect.