ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
Question 1 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: A
Rationale: The correct answer is A: Apply a topical anesthetic cream 1 hr prior to the procedure. This is the correct action to ensure atraumatic care because it helps reduce the pain and discomfort associated with the venipuncture procedure for the child.
Topical anesthetic cream numbs the skin, making the procedure less painful and frightening for the child. This approach aligns with the principles of providing atraumatic care by minimizing pain and anxiety during medical procedures.
Other choices are incorrect because:
B: Performing the procedure in the playroom may provide a distraction but does not address the pain management aspect.
C: Asking the parent to leave may increase the child's anxiety and sense of abandonment during the procedure.
D: Explaining the procedure in detail to the child 3 hr prior does not directly address pain management during the actual procedure.
Question 2 of 5
A nurse is caring for a 5-year-old child following a tonsillectomy and adenoidectomy. Which of the following findings should the nurse identify as an indication of hemorrhage?
Correct Answer: D
Rationale: The correct answer is D: Continuous swallowing. Following a tonsillectomy and adenoidectomy, continuous swallowing can indicate hemorrhage as the child may be swallowing blood. This finding is crucial as it can lead to airway compromise and further complications.
A: Heart rate 54/min is not necessarily indicative of hemorrhage in this context.
B: Flushing of the face could be a sign of fever or anxiety, not necessarily hemorrhage.
C: Blood pressure 95/56 mm Hg alone may not be a clear indication of hemorrhage in this case.
Extract:
A nurse is caring for a group of clients on a pediatric unit.
Question 3 of 5
Which of the following clients is most at risk for insufficient vascular perfusion?
Correct Answer: D
Rationale: The correct answer is D: A school-age child who is in a spica cast. This child is at the most risk for insufficient vascular perfusion due to the constriction of blood vessels caused by the cast. The spica cast can impede blood flow, leading to decreased circulation and potential complications like compartment syndrome. The other choices do not directly impact vascular perfusion as significantly as a spica cast, making them less likely to result in insufficient perfusion. The urinary tract infection in choice A may lead to sepsis but not directly affect vascular perfusion. The intravenous fluids in choice B aim to maintain hydration and do not inherently pose a risk to vascular perfusion. Otitis media in choice C typically does not lead to compromised blood flow.
Extract:
A nurse is reviewing the complete blood count results for a 4-year-old child who is receiving treatment for acute lymphoblastic leukemia.
Question 4 of 5
Which of the following findings should indicate to the nurse that the treatment is having a therapeutic effect?
Correct Answer: B
Rationale: The correct answer is B: RBC count 5/mm³ (4 to 5.5/mm³). A therapeutic effect in this case would be an improvement in the red blood cell count, indicating better oxygen-carrying capacity. Having a value within the normal range (4 to 5.5/mm³) is a positive sign of treatment efficacy.
Incorrect answers:
A: Hemoglobin 6.8 g/dL is low and indicates anemia, not a therapeutic effect.
C: WBC count of 15,000/mm³ is high, indicating infection or inflammation, not a therapeutic effect.
D: Platelet count of 98,000/mm³ is low and could indicate a clotting disorder, not a therapeutic effect.
Extract:
Question 5 of 5
A nurse is teaching the parent of a school-age child about bicycle safety. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale:
Correct Answer: B
Rationale: Walking the bicycle through intersections is a crucial safety measure to prevent accidents. This instruction ensures that the child is visible to drivers and reduces the risk of collisions. Additionally, walking the bicycle allows the child to have better control and stability while navigating intersections.
Incorrect
Choices:
A: Incorrect because the child's feet should be able to touch the ground comfortably while seated on the bicycle for stability and safety.
C: Incorrect because riding the bicycle against the flow of traffic increases the risk of accidents as drivers may not anticipate the child's movements.
D: Incorrect because keeping the bicycle at least 3 feet from the curb is a guideline for riding on the street, not for general bicycle safety.
E, F, G: No other options provided.