ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
Question 1 of 5
A nurse is preparing to insert an IV into the arm of an infant. Which of the following types of restraint should the nurse use?
Correct Answer: A
Rationale: The correct answer is A: Swaddle wrap. This is the most appropriate type of restraint for an infant when inserting an IV because it allows for secure immobilization of the infant's arm without restricting circulation or causing discomfort. The swaddle wrap helps to keep the infant's arm in a stable position, making it easier for the nurse to insert the IV safely and effectively.
The other choices are incorrect:
B: Jacket - A jacket would not provide the necessary immobilization required for the infant's arm during the IV insertion.
C: Elbow - Restraining only the elbow would not be sufficient to prevent the infant from moving their arm during the procedure.
D: Hand mitts - Hand mitts would restrict movement of the hands but would not provide the necessary immobilization of the entire arm for the IV insertion.
Question 2 of 5
A nurse is teaching a newly-licensed nurse about age-appropriate guidelines to prepare a school-age child for a procedure. Which of the following statements indicates that the newly-hired nurse understands the teaching?
Correct Answer: A
Rationale: Using simple diagrams is effective for explaining procedures to school-age children, aiding their understanding.
Extract:
A nurse is preparing to perform a venipuncture on a 4-year-old child.
Question 3 of 5
Which of the following actions should the nurse take to ensure atraumatic care?
Correct Answer: D
Rationale: The correct answer is D: Apply a topical anesthetic cream 1 hour prior to the procedure. This action promotes atraumatic care by minimizing pain and discomfort for the child during the procedure. Applying the cream in advance allows time for the anesthetic to take effect, reducing the child's anxiety and fear. It also demonstrates the nurse's consideration for the child's well-being and comfort.
Other choices are incorrect because:
A: Asking the child's parent to leave the room may increase the child's anxiety and make the experience more traumatic.
B: Performing the procedure in the playroom may not necessarily reduce the trauma if the child is still experiencing pain.
C: Explaining the procedure in detail 3 hours prior may cause unnecessary worry and anxiety for the child, increasing trauma.
Overall, applying a topical anesthetic cream is the most effective and compassionate approach to ensuring atraumatic care for the child.
Extract:
Question 4 of 5
A nurse is teaching the guardian of a newborn about how to prepare their 3-year-old child to meet their new sibling. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: The correct answer is C: Provide a doll for your 3-year-old child to imitate parental behaviors.
Rationale:
1. Providing a doll allows the child to practice parental behaviors, fostering a sense of involvement and responsibility.
2. Role-playing with a doll can help the child understand the concept of caregiving and prepare them for the arrival of the new sibling.
3. It promotes a positive and interactive way for the child to learn about caring for a baby and adjusting to the new family dynamic.
Other
Choices:
A: Incorrect. Telling the child they will have a new playmate may not adequately prepare them for the responsibilities and changes that come with a new sibling.
B: Incorrect. Preparing the child for changes in all routines may cause unnecessary anxiety and may not be specific to the sibling arrival.
D: Incorrect. Waiting for the newborn to arrive before transitioning the 3-year-old to a bed is unrelated to preparing the child for the new sibling.
Question 5 of 5
A nurse is reviewing the medical record of a toddler who is scheduled for surgery. Which of the following information should the nurse recognize as a potential risk for a latex allergy?
Correct Answer: C
Rationale: The correct answer is C: History of spina bifida. Spina bifida is a congenital condition associated with multiple surgeries and medical interventions, increasing exposure to latex products and thus the risk of developing a latex allergy. Suspected autism spectrum disorder (choice
A) is not directly linked to latex allergy. Diagnosis of hypospadias (choice
B) and previous cleft palate repair (choice
D) do involve surgeries but are not as strongly associated with latex exposure as spina bifida.