ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
Question 1 of 5
A nurse is planning care for a child who has a prescription to transfuse 2 units of packed RBCs. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: C
Rationale: The correct answer is C: Infuse each unit of blood within 4 hours. This is important because packed RBCs must be infused within a specific timeframe to prevent bacterial growth and maintain the integrity of the blood product. Infusing the blood within 4 hours helps reduce the risk of bacterial contamination and ensures the effectiveness of the transfusion.
Explanation for other choices:
A: Infusing dextrose 5% in water during the infusion of packed RBCs is not necessary and may lead to fluid overload in the child.
B: Administering RBCs using non-filtered IV tubing can increase the risk of air embolism and contamination, so it is not the correct intervention.
D: Storing the second unit of blood at room temperature for up to 2 hours is incorrect as blood products should be stored under specific temperature conditions to maintain their quality and safety.
Question 2 of 5
A nurse is obtaining informed consent for an adolescent who is scheduled for a cardiac catheterization. The adolescent's guardian states, 'I don't understand why they need to do this procedure.' Which of the following actions should the nurse take?
Correct Answer: B
Rationale:
Correct Answer: B. Notify the provider who is scheduled to perform the procedure.
Rationale: The nurse should notify the provider performing the procedure as they are the most qualified to explain the necessity of the cardiac catheterization and address any concerns or questions the guardian may have. The provider can provide detailed information about the procedure, potential risks, benefits, and alternatives, helping to ensure that the guardian understands the importance of the procedure for the adolescent's health.
Incorrect
Choices:
A: Requesting assistance from the anesthesiologist is not the most appropriate action as the anesthesiologist's role may not involve explaining the procedure itself.
C: While explaining the procedure to the adolescent and guardian is important, in this scenario, involving the provider directly is crucial to address the guardian's concerns.
D: Witnessing the adolescent's signature on the consent form is important but does not address the guardian's lack of understanding.
Question 3 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: B
Rationale:
Correct Answer: B
Rationale: Walking the bicycle through intersections is a crucial safety measure to prevent accidents. This instruction ensures that the child is visible to drivers and reduces the risk of collisions. Additionally, walking the bicycle allows the child to have better control and stability while navigating intersections.
Incorrect
Choices:
A: Incorrect because the child's feet should be able to touch the ground comfortably while seated on the bicycle for stability and safety.
C: Incorrect because riding the bicycle against the flow of traffic increases the risk of accidents as drivers may not anticipate the child's movements.
D: Incorrect because keeping the bicycle at least 3 feet from the curb is a guideline for riding on the street, not for general bicycle safety.
E, F, G: No other options provided.
Extract:
A nurse is planning care for an infant who has a prescription for a Pavlik harness.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale:
Rationale: Option C is correct because massaging the skin under the straps daily helps improve circulation and prevent pressure sores. Lengthening the straps weekly (Option
A) is not necessary unless the harness is too tight. Positioning the diaper over the straps (Option
B) can cause friction and skin irritation. Applying lotion (Option
D) can create a moist environment and increase the risk of skin breakdown.
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 5 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.