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: The correct answer is C: FLACC. The FLACC scale is specifically designed for assessing pain in nonverbal individuals such as toddlers or cognitively impaired patients. It evaluates Facial expression, Leg movement, Activity, Cry, and Consolability. This scale is suitable for assessing pain in this population as it focuses on observable behaviors that may indicate pain. The Visual Analog scale (
A) requires the ability to comprehend and communicate pain levels, which may be challenging for a cognitively impaired toddler. The FACES scale (
B) relies on the individual's ability to understand and point to facial expressions representing pain, which may not be possible for the toddler in this scenario. The CRIES scale (
D) is typically used for neonates and may not be appropriate for a toddler.
Question 2 of 5
A nurse is caring for an infant who has heart failure and vomited following administration of digoxin. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Administer the next dose as prescribed. Vomiting after digoxin administration does not necessarily indicate toxicity. It is crucial to adhere to the prescribed dosing schedule to maintain therapeutic levels. Skipping a dose can lead to suboptimal treatment. Mixing with formula (
A) can affect absorption, giving an antiemetic (
B) is unnecessary if vomiting is a one-time occurrence, and increasing fluids (
C) may worsen heart failure.
Question 3 of 5
A nurse is reviewing safety measures with a group of parents to prevent burn injuries for toddlers. Which of the following safety measures should the nurse include in the teaching?
Correct Answer: B
Rationale:
Correct
Answer: B - Keep electrical wires hidden from view.
Rationale: Keeping electrical wires hidden reduces the risk of toddlers getting access to them, preventing electrical burns. This safety measure is crucial as toddlers are curious and may try to touch or play with exposed wires, which can lead to serious injuries.
Summary of Other
Choices:
A: Setting the water heater to 60°C (140°F) may scald toddlers if the water is too hot. This measure does not specifically address burn prevention for toddlers.
C: Encouraging outdoor activities between specific hours does not directly relate to burn prevention. It is important for sun safety but does not address burn injuries from other sources.
D: Turning pot handles toward the front of the stove is a good safety practice to prevent accidental spills and burns, but it does not cover the broader aspect of burn prevention for toddlers.
Question 4 of 5
A nurse is providing teaching to the guardian of a 2-year-old child about typical toddler behavior. Which of the following behaviors should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Frequent negative responses.
Toddlers often display frequent negative responses as they are exploring their independence and testing boundaries. It is a normal part of their development.
Choice A is incorrect as toddlers typically thrive on routines for predictability.
Choice C is incorrect as toddlers are known for their emotional lability, having quick and intense mood changes.
Choice D is incorrect as toddlers are in a stage where they are developing autonomy and independence, not increased dependency.
Extract:
History and Physical: 5-year-old male, 18 kg (39.7 lb), Admitted following a motor-vehicle crash Surgical procedure: L leg open reduction and fixation, L arm closed reduction and fixation
Question 5 of 5
A nurse is caring for a child who is 2 hr postoperative. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D: Compare the child's pedal pulses. This is the first action the nurse should take to assess the child's circulation status postoperatively. Checking pedal pulses helps determine peripheral perfusion and any possible complications like decreased blood flow. Assessing pain (
A) is important but not the priority for circulation assessment. Rechecking temperature (
B) is not a priority unless there are specific concerns. Determining sedation level (
C) is important but secondary to assessing circulation.
Therefore, comparing pedal pulses is the first step to ensure adequate perfusion and detect any potential issues.