ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
4-year-old child
Question 1 of 5
A nurse is preparing to assess a 4-year-old child's visual acuity. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: The correct answer is A: Use a tumbling E chart for the assessment. This is because a tumbling E chart is commonly used for visual acuity testing in young children who may not be able to identify letters or symbols. The E chart consists of E shapes facing in different directions, and the child is asked to point in the direction the E is facing. This allows for a more accurate assessment of visual acuity in young children compared to traditional letter charts.
Other choices are incorrect:
B: Assess both eyes together first, then each eye separately - This approach may not provide an accurate assessment of each eye's visual acuity individually.
C: Position the child 4.6 meters (15 feet) from the chart - This distance is typically used for adult visual acuity testing, not for children.
D: Test the child without glasses before testing with glasses - It is important to test the child's visual acuity with their usual correction to ensure an accurate assessment.
Extract:
Adolescent scheduled for a cardiac catheterization, guardian states, 'I don't understand why they need to do this procedure.'
Question 2 of 5
A nurse is obtaining informed consent for an adolescent who is scheduled for a cardiac catheterization. The 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: The correct answer is B: Notify the provider who is scheduled to perform the procedure. This is the best action because the provider can directly address the guardian's concerns and provide a detailed explanation of why the procedure is necessary. It ensures that the guardian receives accurate information from a medical professional, which can help alleviate their concerns and increase their understanding.
Rationale:
1. Involving the provider ensures that the guardian receives information from a qualified medical expert.
2. The provider can address specific concerns and provide detailed information about the procedure.
3. Direct communication with the provider can help build trust and confidence in the medical team.
4. This approach prioritizes clear communication and informed decision-making, which is essential in obtaining valid consent.
Summary:
A: Witnessing the adolescent's signature does not address the guardian's concerns or provide necessary clarification.
C: Involving the anesthesiologist may not be the most appropriate step as they are not directly involved in explaining the procedure.
D: Explaining
Extract:
4-year-old child
Question 3 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: D
Rationale:
Correct
Answer: D. Apply a topical anesthetic cream 1 hr prior to the procedure.
Rationale: Applying a topical anesthetic cream helps reduce pain and discomfort during the venipuncture procedure, promoting atraumatic care. It numbs the area, making the procedure less painful for the child. This approach aligns with the principles of providing care in a child-friendly and minimally traumatic manner.
Summary:
A: Asking the parent to leave may increase the child's anxiety, contrary to atraumatic care.
B: Explaining the procedure in detail 3 hr prior may cause unnecessary stress and anxiety for the child.
C: Performing the procedure in the playroom may not address the pain and discomfort associated with the procedure.
E, F, G: Not provided, but applying a topical anesthetic cream remains the most appropriate choice for atraumatic care.
Extract:
Child receiving conditioning therapy for enuresis
Question 4 of 5
A nurse is caring for a child who is receiving conditioning therapy for enuresis. Which of the following statements by the child's parent indicates the treatment is effective?
Correct Answer: B
Rationale: The correct answer is B. When the child goes to the bathroom in response to the alarm going off, it demonstrates that the conditioning therapy is effective. This response shows that the child is becoming more aware of their bladder sensations and is learning to wake up to use the bathroom, which is the goal of conditioning therapy.
Incorrect choices:
A: Kegel exercises are not typically used in conditioning therapy for enuresis, so this statement does not indicate treatment effectiveness.
C: Drinking less is not necessarily a positive indicator of treatment effectiveness and could lead to dehydration.
D: Holding urine for prolonged periods can be harmful and indicates the child is not responding appropriately to their body's signals.
Extract:
School-age child following surgery and cast application to the right forearm
Question 5 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: D
Rationale: The correct answer is D: Monitor for pallor or swelling in the child's affected hand. This is the priority because it indicates potential circulation issues, such as compartment syndrome, which is a medical emergency. Pallor and swelling are signs of decreased blood flow, which can lead to tissue damage. It is crucial to monitor these signs closely to prevent complications.
A: Examining for skin irritation is important for skin health but not the priority compared to monitoring for circulation issues.
B: Using a hair dryer for itching is not recommended as it can introduce moisture and cause skin issues under the cast.
C: Restricting strenuous activities is important but not as critical as monitoring for circulation issues.
Summary: Monitoring for pallor or swelling is crucial for early detection of circulation problems, while the other choices focus on secondary aspects of cast care.