ATI RN
ATI RN Pediatric Nursing 2023 II 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: C
Rationale: The correct answer is C: Apply a topical anesthetic cream 1 hr prior to the procedure. This action ensures atraumatic care by numbing the area of the venipuncture, reducing pain and anxiety for the child. Asking the parent to leave (
A) may increase the child's anxiety. Performing the procedure in a playroom (
B) may not provide the necessary sterile conditions. Explaining the procedure to the child in detail hours before (
D) may not address the immediate anxiety and pain during the venipuncture.
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 tonsillectomy and adenoidectomy, continuous swallowing can indicate hemorrhage as the child may be swallowing blood. This can lead to increased risk of airway obstruction and further bleeding. Heart rate, flushing of the face, and blood pressure may not be reliable indicators of hemorrhage in this case. A decrease in heart rate can be due to the child's age or medications, flushing can be a response to pain or anxiety, and the blood pressure may not necessarily indicate hemorrhage. Continuous swallowing is the most concerning finding post-operatively and should be addressed promptly.
Question 3 of 5
A nurse is caring for a 1-week-old newborn who has hyperbilirubinemia and is being treated with phototherapy. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Monitor the newborn's temperature every 2 hr. This is important because phototherapy can lead to heat loss in newborns, making them prone to hypothermia. By monitoring the temperature every 2 hours, the nurse can promptly detect any changes and take appropriate measures to maintain the newborn's body temperature within a safe range. Checking the newborn's eyes every 8 hours (
A) is not directly related to the management of hyperbilirubinemia or phototherapy. Placing mittens on the newborn's hands (
B) is not necessary for this situation. Applying lotion to the newborn's skin (
D) is also not relevant to managing hyperbilirubinemia.
Question 4 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: D
Rationale: The correct answer is D: Use a tumbling E chart for the assessment. This is because a tumbling E chart is commonly used for testing visual acuity in young children as they may not yet know their letters. The chart consists of the letter 'E' facing in different directions, and the child is asked to point in the direction the 'E' is facing. This method helps assess visual acuity without the child needing to know letters.
A: Assessing both eyes together first, then separately may not be as effective in determining each eye's individual visual acuity.
B: Positioning the child 4.6 meters from the chart is the standard distance for adults, not for testing children's visual acuity.
C: Testing the child without glasses before testing with glasses may not provide an accurate assessment of the child's visual acuity with correction.
Question 5 of 5
A nurse is planning care for a child who has varicella. Which of the following interventions should the nurse plan to include?
Correct Answer: D
Rationale: The correct answer is D: Initiate airborne precautions. Varicella, commonly known as chickenpox, is highly contagious and spreads through airborne droplets. By initiating airborne precautions, the nurse can prevent the spread of the virus to other individuals. Providing a warm blanket (choice
A) is not directly related to managing varicella. Assessing the oral cavity for Koplik spots (choice
B) is more indicative of measles, not varicella. Administering aspirin for fever (choice
C) is contraindicated in children with varicella due to the risk of Reye's syndrome.