ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
Question 1 of 5
A nurse is planning care for a preschooler who has neutropenia. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: The correct answer is B: Avoid raw fruits and vegetables in the child's diet. Neutropenia is a condition characterized by a low neutrophil count, making the child more susceptible to infections. Raw fruits and vegetables may harbor bacteria, posing a risk of infection for the child with neutropenia.
Therefore, it is crucial to avoid these foods to reduce the risk of bacterial contamination. Administering vaccines (choice
A) may not be advisable due to the child's compromised immune system. Bathing the child every other day (choice
C) and obtaining rectal temperature once daily (choice
D) are not directly related to preventing infection in a child with neutropenia.
Extract:
A nurse is preparing to collect a capillary blood specimen from the heel of a 4-month-old infant.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B because puncturing the outer aspect of the heel is the appropriate technique for obtaining a blood sample in a heel stick procedure. This area has a rich blood supply, making it ideal for sampling.
Choice A is incorrect because applying a cool pack can cause vasoconstriction, making it harder to obtain a sample.
Choice C is incorrect as using a surgical blade is not recommended due to the risk of injury and contamination.
Choice D is incorrect because wiping the site with alcohol after the puncture can introduce contaminants. Overall, puncturing the outer aspect of the heel is the safest and most effective method for obtaining a blood sample in this scenario.
Extract:
A nurse is applying soft limb restraints to a child who is acting aggressively toward staff.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action for the nurse to take is to secure the restraints with a quick-release knot (
Choice
C). This is important for the safety of the child as quick-release knots allow for easy and quick removal in case of an emergency. Tying the restraints to the side rails of the bed (
Choice
B) can pose a risk of entrapment and restrict movement. Requesting the provider to renew the prescription every 48 hours (
Choice
A) is not directly related to the immediate action of securing the restraints. Assessing the child every 4 hours (
Choice
D) is important but does not address the immediate action needed.
Extract:
Question 4 of 5
A nurse is teaching the guardian of a 2-year-old toddler about toilet training. The nurse should instruct the guardian that which of the following behaviors indicates the toddler is ready for toilet training?
Correct Answer: A
Rationale: Waking from naps with a dry diaper indicates bladder control, a sign of readiness for toilet training.
Question 5 of 5
A nurse is applying soft limb restraints to a child who is acting aggressively toward staff. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Secure the restraints with a quick-release knot. This is crucial for the safety of the child as quick-release knots allow for easy and immediate removal in case of emergency or if the child becomes distressed. Tying restraints to the side rails (
A) could lead to injury if the child tries to get free. Requesting prescription renewal every 48 hr (
B) is important but not the immediate action needed. Assessing the child every 4 hr (
D) is essential, but securing the restraints with a quick-release knot takes priority for immediate safety.