ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
Question 1 of 5
A nurse is planning postoperative care for an adolescent following scoliosis repair with spinal instrumentation. Which of the following actions should the nurse include in the plan of care?
Correct Answer: C
Rationale: The correct answer is C: Ensure two nurses logroll the adolescent every 2 hr. This action is crucial to prevent complications and maintain proper spinal alignment post-surgery. Logrolling involves turning the patient as a unit to prevent twisting or bending of the spine. It helps to avoid putting pressure on the surgical site and reduces the risk of injury. Maintaining the head of the bed at a 30° angle (
A) may be necessary for respiratory comfort but does not address the specific postoperative spinal care needed. Assisting the adolescent to ambulate 12 hr following surgery (
B) may be too soon and could risk injury. Offering sips of water 4 hr following surgery (
D) can be appropriate, but ensuring proper positioning and spinal care is more critical in the immediate postoperative period.
Question 2 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.
Extract:
A nurse is caring for a 1-year-old child who has been hospitalized.
Question 3 of 5
Which of the following items in the child's room is a common source of health care-associated infection?
Correct Answer: D
Rationale: The correct answer is D: Bedside computer keyboard. This is because items such as computer keyboards in a child's room can harbor harmful bacteria and viruses that can be transmitted to the child, caregivers, or healthcare providers, leading to healthcare-associated infections. Keyboards are frequently touched and are often overlooked when it comes to cleaning and disinfection, making them a common source of infections. The other choices (A, B, and
C) are less likely to be sources of healthcare-associated infections in a child's room as disposable diapers, protective gowns, and unopened formula bottles are typically designed to maintain hygiene and are not directly involved in transmitting infections like a contaminated keyboard.
Extract:
A nurse is reviewing safety measures with a group of parents to prevent burn injuries for toddlers.
Question 4 of 5
Which of the following safety measures should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Keep electrical wires hidden from view. This safety measure is important as exposed wires can pose a risk of electrocution or fire. By keeping them hidden, the risk of accidents is reduced.
Choice B is incorrect as outdoor activities during peak sun hours can increase the risk of sunburn and heat exhaustion.
Choice C is incorrect because setting the water heater to 60°C can lead to scalding injuries.
Choice D is incorrect as turning pot handles toward the front of the stove can increase the risk of accidental spills and burns.
Extract:
Vital Signs at 0730: Tympanic temperature: 38.1°C (100.6°F), Heart rate: 95/min, Respiratory rate: 20/min; Vital Signs at 0800: Tympanic temperature: 38.2°C (101°F), Heart rate: 112/min, Respiratory rate: 24/min, Oxygen saturation: 96% on room air; Assessment Findings at 0800: Cough, Stridor, Irritability; Medical History: No known allergies, Up-to-date on vaccinations, History of frequent upper respiratory infections, No significant past medical history; Nurses Notes at 0900: The child appears increasingly irritable and is crying intermittently. The cough has become more frequent and is now accompanied by a hoarse voice. The child is refusing to eat or drink and appears fatigued. Parents report that the child had difficulty sleeping the previous night due to coughing. The child is observed to have nasal flaring and mild intercostal retractions. The child is sitting upright and leaning forward, appearing to be in mild respiratory distress. The skin is warm to touch, and the child is sweating; Physical Examination Results at 0900: Nasal flaring, Mild intercostal retractions, Hoarse voice, Sitting upright and leaning forward, Warm skin, Sweating; A nurse is caring for a 3-year-old child in the pediatric unit.
Question 5 of 5
Based on the exhibits provided, which of the following findings are consistent with the child's condition? Select all that apply.
Correct Answer: A,B,D
Rationale: The correct findings consistent with the child's condition are A (Hoarse voice), B (Nasal flaring), and D (Sitting upright and leaning forward). Hoarse voice suggests airway obstruction or irritation. Nasal flaring indicates respiratory distress. Sitting upright and leaning forward is a sign of respiratory distress, helping to open airways.
Choices C (Increased appetite) and E (Decreased respiratory rate) are inconsistent with respiratory distress.