ATI RN
ATI RN Pediatric Nursing 2023 II Questions
Extract:
Question 1 of 5
A nurse is preparing to administer an IM injection to a 3-year-old child. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: The correct answer is D: "You can choose which leg you get your medicine in." This statement empowers the child by giving them a sense of control in the situation, which can help alleviate anxiety and fear associated with receiving an injection. By allowing the child to make a choice, the nurse promotes autonomy and cooperation during the procedure. This approach fosters a positive experience and helps build trust between the child and healthcare provider.
Choices A, B, and C are incorrect because they do not address the child's potential fear or anxiety about the injection. Offering a prize for not crying (
A) may inadvertently reinforce the idea that crying is expected or acceptable. Statement B may not accurately explain the purpose of the medicine or the injection process. Statement C, while attempting to minimize the sensation, does not acknowledge the child's emotional needs or provide any reassurance.
Question 2 of 5
A nurse is caring for a group of toddlers receiving digoxin therapy. For which of the following toddlers should the nurse revise the plan of care?
Correct Answer: A
Rationale: The correct answer is A. If a toddler receiving digoxin therapy has vomited 2 times in the last hour, it can lead to decreased absorption of digoxin and potentially lower therapeutic levels in the bloodstream. This situation requires a revision of the plan of care to ensure the toddler receives the necessary dose of digoxin.
Incorrect choices:
B: A digoxin level of 1.2 ng/mL falls within the therapeutic range of 0.8-2 ng/mL, so no immediate revision of the plan of care is needed.
C: An apical pulse of 100/min could be within the expected range for a toddler, especially when receiving digoxin therapy. Monitoring is important, but it may not require an immediate revision of the plan of care.
D: A potassium level of 4.0 mEq/L is within the normal range, so no revision of the plan of care is necessary based on this value.
Question 3 of 5
A nurse is assessing a preschool-age child who is in the immediate postoperative period following a tonsillectomy. Which of the following assessment findings is the priority?
Correct Answer: D
Rationale: The correct answer is D: The child swallows frequently. This is the priority assessment finding because it could indicate bleeding post-tonsillectomy, which is a potential complication requiring immediate intervention to prevent further complications. The other options are not as urgent: A is expected after surgery, B can be managed by offering alternatives, and C is common postoperatively due to discomfort.
Question 4 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 5 of 5
A nurse is caring for a newly admitted child who has cystic fibrosis. For which of the following members of the interprofessional team should the nurse initiate a referral?
Correct Answer: A
Rationale: The correct answer is A: Dietitian. The nurse should initiate a referral to a dietitian for a child with cystic fibrosis to ensure proper nutrition and weight management. Cystic fibrosis can affect the body's ability to absorb nutrients, so a dietitian can help develop a specialized diet plan. Occupational therapist (
B) focuses on daily activities, physical therapist (
D) focuses on mobility, and speech-language pathologist (
C) focuses on communication and swallowing - not directly related to cystic fibrosis nutritional needs.