ATI RN
ATI RN Pediatrics Nursing 2023 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: A
Rationale: The correct answer is A: You can choose which leg you get your medicine in. This statement empowers the child by giving them a sense of control over the situation, promoting cooperation and reducing anxiety. It is important to involve children in decision-making whenever possible to help them feel more comfortable during procedures.
Choices B, C, and D are incorrect because they do not address the child's need for autonomy and may not effectively prepare the child for the injection.
Choice B offers a reward for not crying, which can create a negative association with the injection.
Choice C minimizes the potential discomfort of the injection, which may not be accurate for every child.
Choice D oversimplifies the purpose of the medication and may not provide a clear understanding for the child.
Question 2 of 5
A nurse is admitting a child who has erythema infectiosum. Which of the following transmission-based precautions should the nurse initiate?
Correct Answer: A
Rationale: The correct answer is A: Droplet precautions. Erythema infectiosum, also known as Fifth disease, is primarily transmitted through respiratory secretions. Droplet precautions are necessary to prevent the spread of the virus through droplets when the child coughs or sneezes. This precaution includes wearing a mask and ensuring proper hand hygiene.
Other choices are incorrect because:
B: Airborne precautions are for diseases transmitted through small droplet nuclei that remain suspended in the air for long periods, such as tuberculosis.
C: Contact precautions are for diseases spread by direct contact with an infected person or surfaces, like MRSA.
D: Protective environment precautions are used for immunocompromised patients to protect them from environmental pathogens.
Question 3 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 4 of 5
A nurse is caring for a toddler who has impetigo. Which of the following actions by the nurse indicates an understanding of how impetigo is spread?
Correct Answer: B
Rationale: The correct answer is B: Wearing gloves when assessing the toddler. Impetigo is primarily spread through direct contact with the infected skin or items contaminated with the bacteria. Wearing gloves during assessment prevents the nurse from coming into direct contact with the lesions, reducing the risk of spreading the infection.
A: Initiating droplet precautions is not necessary for impetigo as it is not transmitted through respiratory droplets.
C: Placing the toddler in a negative airflow room is not required for impetigo, as it is not an airborne infection.
D: Providing a protective environment is a broad term and does not specifically address the mode of transmission of impetigo.
Extract:
A nurse is planning care for a preschooler who has autism spectrum disorder.
Question 5 of 5
Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: The correct answer is B: Establish a reward system. This intervention is important in pediatric nursing to promote positive behavior and compliance with treatments. By providing incentives, the child is motivated to participate in their care. Holding the child during assessments (
A) may hinder the assessment process. Maintaining extended eye contact (
C) can be intimidating for some children. Engaging in cooperative play (
D) may not be relevant to the specific care plan.
Choices E, F, and G are not provided but based on the context, they would likely be incorrect since they are not related to interventions for promoting cooperation in pediatric care.