ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
4-year-old child
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: 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 2 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 3 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.
Extract:
Child with sickle cell anemia
Question 4 of 5
A nurse is caring for a child who has sickle cell anemia. Which of the following findings is the priority for the nurse to report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Facial twitching. This finding is a priority to report because it could indicate a neurological complication such as a stroke or seizure, which can be life-threatening in a child with sickle cell anemia. Facial twitching may be a sign of inadequate oxygen delivery to the brain due to sickle cell crisis. Kyphosis (
B) is a spinal curvature issue, enuresis (
C) is bedwetting, and constipation (
D) are common in children with sickle cell anemia but not as urgent as potential neurological issues represented by facial twitching.
Extract:
Preschooler with neutropenia
Question 5 of 5
A nurse is planning care for a preschooler who has neutropenia. Which of the following interventions should the nurse include in the plan?
Correct Answer: A
Rationale: The correct answer is A: Avoid raw fruits and vegetables in the child's diet. Neutropenia is a condition characterized by a low level of neutrophils, a type of white blood cell that helps fight infections. Raw fruits and vegetables may contain bacteria that can be harmful to a child with neutropenia, as their immune system is compromised. Cooking these foods can help reduce the risk of infection.
Therefore, this intervention is crucial in preventing potential infections in the child.
Other choices are incorrect:
B: Bathing the child every other day is not directly related to managing neutropenia. It is important for hygiene but does not specifically address the increased risk of infection in neutropenic children.
C: Obtaining the child's rectal temperature once daily is important for monitoring fever, but it does not directly address the dietary considerations needed for neutropenia.
D: Administering vaccines prior to discharge is important for preventing infections in general, but it is not specific to the dietary