ATI RN
ATI RN Pediatric Nursing 2023 II 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: D
Rationale: Offering sips of water 4 hours following surgery may be too early and could increase the risk of postoperative complications such as nausea and vomiting. Assisting the adolescent to ambulate 12 hours following surgery may be too early depending on the surgical procedure and the adolescent's condition. Maintaining the head of the bed at a 30° angle is incorrect because this position increases pressure on the spinal cord and can cause complications. Logrolling the adolescent every 2 hours prevents spinal injury and promotes healing by keeping the spine in alignment.
Question 2 of 5
A nurse is providing discharge teaching to the parents of a school-age child following surgery and cast application to the right forearm. Which of the following information is the priority for the nurse to include?
Correct Answer: C
Rationale: Examining the child for skin irritation at the cast edges is important to prevent complications, but it is not the priority over monitoring for circulation and potential complications. Restricting strenuous activities is important for preventing damage to the cast, but it is not the priority over monitoring for circulatory compromise. Monitoring for pallor or swelling in the child's affected hand is the priority because it indicates potential circulatory compromise, which is a critical concern following cast application. Using a hair dryer on a cool setting to relieve itching is a helpful suggestion, but it is not the priority.
Question 3 of 5
A nurse is caring for a 1-year-old child who has been hospitalized. Which of the following items in the child's room is a common source of health care-associated infection?
Correct Answer: B
Rationale: Unopened bottles of formula are not typically sources of healthcare-associated infections. Bedside computer keyboards can harbor pathogens and serve as fomites for transmitting infections. Disposable diapers are not typically sources of healthcare-associated infections if used appropriately. Protective plastic gowns are not typically sources of healthcare-associated infections if used appropriately.
Question 4 of 5
A nurse is preparing to perform a venipuncture on a 4-year-old child. Which of the following actions should the nurse take to ensure atraumatic care?
Correct Answer: C
Rationale: Asking the child's parent to leave the room during the procedure may increase the child's anxiety and make the procedure more traumatic. Performing the procedure in the unit's playroom may not provide the necessary equipment and sterile environment required for a venipuncture. Applying a topical anesthetic cream helps reduce pain and discomfort during the venipuncture, promoting atraumatic care. Explaining the procedure in detail to the child 3 hours prior to the procedure may increase anxiety and anticipation, making the procedure more traumatic.
Question 5 of 5
A nurse is reviewing the complete blood count results for a 4-year-old child who is receiving treatment for acute lymphoblastic leukemia. Which of the following findings should indicate to the nurse that the treatment is having a therapeutic effect?
Correct Answer: C
Rationale: A low hemoglobin level indicates anemia, which is common in leukemia but does not necessarily indicate treatment effectiveness. A low platelet count is a sign of bone marrow suppression, which is a common side effect of chemotherapy for leukemia. A normal RBC count indicates that the child's bone marrow is producing enough red blood cells to carry oxygen throughout the body. Elevated WBC count is typical in leukemia and does not necessarily indicate treatment effectiveness.