ATI RN
ATI RN Pediatric Nursing 2023 II 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: C
Rationale: Visual analog scales rely on the child's ability to comprehend and interpret visual cues, which may be challenging for a cognitively impaired toddler. FACES scales require the child to identify their pain level based on facial expressions, which may also be challenging for a cognitively impaired toddler. FLACC (Face, Legs, Activity, Cry, Consolability) scales are specifically designed for non-verbal or cognitively impaired individuals, assessing pain based on observable behaviors such as facial expression, leg movement, activity level, cry, and ability to be consoled. CRIES scales are primarily used for assessing pain in newborns and infants and may not be as applicable for a cognitively impaired toddler.
Question 2 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: B
Rationale: The nurse should not encourage flexion and extension of the neck, as this could cause further injury or damage to the spinal cord. The nurse should reposition the client using a turning sheet to prevent skin breakdown and maintain alignment of the spine. The nurse should assess the pin sites for infection at least once a day, not every other day. The nurse should not tighten the screws on the halo device, as this could cause pressure ulcers or nerve damage.
Question 3 of 5
A nurse is caring for a 5-year-old child who has acute poststreptococcal glomerulonephritis. Which of the following findings should indicate to the nurse that treatment has been effective?
Correct Answer: C
Rationale: A normal temperature does not specifically indicate the effectiveness of treatment for acute poststreptococcal glomerulonephritis. Pain with voiding is not typically associated with this condition and therefore does not indicate treatment effectiveness. Clear urine indicates that the kidneys are effectively filtering waste and fluid, suggesting treatment effectiveness. Odorless urine is a normal characteristic and does not specifically indicate treatment effectiveness.
Question 4 of 5
A nurse is caring for a newly admitted child who has cystic fibrosis. For which of the following members of the interprofessional team should the nurse initiate a referral?
Correct Answer: A
Rationale: A dietitian can provide essential guidance on appropriate nutrition and caloric intake, which is crucial for managing cystic fibrosis. Occupational therapists focus on improving fine motor skills and daily living activities, which may not be the primary concern for a child with cystic fibrosis. Speech-language pathologists primarily address speech and language disorders, which may not be directly related to cystic fibrosis. Physical therapists focus on improving mobility and strength, which may be important but may not be the priority in the early management of cystic fibrosis.
Question 5 of 5
A nurse is providing teaching to the parents of a child who has impetigo. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: Impetigo is caused by bacteria, not viruses, so sealing soft toys in a plastic bag is unnecessary. Applying bactericidal ointment to lesions helps kill the bacteria causing impetigo and promotes healing. Soaking hairbrushes in boiling water is not typically necessary for the treatment of impetigo. Acyclovir is an antiviral medication used to treat herpes simplex virus infections, not bacterial infections like impetigo.