ATI RN
ATI RN Pediatric Nursing 2023 Exam 3 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: A. Asking the child's parent to leave the room may increase the child's anxiety and make the procedure more traumatic. B. Performing the procedure in the playroom may not necessarily ensure atraumatic care as the environment may still be unfamiliar and anxiety-provoking for the child. C. Applying a topical anesthetic cream helps numb the area, reducing the pain and discomfort associated with venipuncture, thus promoting atraumatic care. D. Explaining the procedure in detail to the child 3 hours prior to the procedure may not be effective in reducing the child's anxiety at the time of the procedure and may increase anticipation-related stress.
Question 2 of 5
A nurse is preparing to administer an IM injection to a 3-year-old child. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: A. Offering a prize for not crying may inadvertently suggest to the child that crying is expected and rewarded, potentially increasing anxiety. B. This statement may not provide adequate information to the child about the procedure and may not alleviate anxiety. C. While this statement attempts to minimize the sensation of pain, it may not provide enough reassurance or information about the procedure. D. Allowing the child to choose which leg they receive the injection in empowers them and gives them a sense of control, which can help reduce anxiety and make the experience less stressful.
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: C
Rationale: A. Asking the child's parent to leave the room may increase the child's anxiety and make the procedure more traumatic. B. Performing the procedure in the playroom may not necessarily ensure atraumatic care as the environment may still be unfamiliar and anxiety-provoking for the child. C. Applying a topical anesthetic cream helps numb the area, reducing the pain and discomfort associated with venipuncture, thus promoting atraumatic care. D. Explaining the procedure in detail to the child 3 hours prior to the procedure may not be effective in reducing the child's anxiety at the time of the procedure and may increase anticipation-related stress.
Extract:
Nurses Notes: 0915: Received the child awake, alert, and crying. Parent states that child was playing with remote control toy and when the parent the child crying, they noticed that a battery was missing from the toy. The parent states that the child was drooling more and witnessed them gagging periodically. 0930: Child is lying on parent's chest with eyes open and requesting ‘sippy cup.' Continues to have expiratory wheezing in bilateral upper lobes. Preparing child for diagnostic testing. Vital Signs: Blood pressure 88/45 mm Hg, Heart rate 90/min, Respiratory rate 30/min, Axillary temperature 36.9°C (98.4 F), Oxygen saturation 96%. 0930: Blood pressure 86/46 mmHg, Heart rate 88/min, Respiratory rate 28/min, Axillary temperature 36.9 C(98.4 F), Oxygen saturation 95%. Assessment: 0915: Child awake and sobbing, asking for ‘sippy cup' with excessive drooling and occasionally gagging. Breath sounds with small expiratory wheezing noted in bilateral upper lobes, respirations slightly elevated as child continues to cry and sob. Oxygen saturation 96% on room air. Penlight used to inspect the throat with no visual signs of foreign object in child's nose or ears upon inspection. Pupils equal, round, and reactive to light and accommodation. Abdomen soft and non-tender with active bowel sounds in all four quadrants. Skin warm, pink, and smooth. Yellow urine noted in child's diaper. Provider notified of assessment findings. Laboratory Results: 0930: x-ray of the neck, chest, and abdomen completed plane radiographic study identifies object in esophagus, No foreign objects visualized in the chest or abdomen
Question 4 of 5
Complete the following sentence by using the list of options. The nurse should first ___ followed by ___.
Correct Answer: A, E
Rationale: A. Keeping the child NPO is crucial to prevent further ingestion or aspiration of the battery, which could lead to serious complications. This is the first priority to ensure safety. B. Teaching the child's parents the importance of inspecting the child's play area is important for future prevention but is not the immediate priority in this acute situation. C. Obtaining an informed consent is not the priority in this scenario. It should be done after keeping the child NPO. D. Encouraging parents to inspect toys for easily removable parts is important for prevention but is not the immediate priority when dealing with a child who has already ingested a foreign object. E. Preparing the child for flexible endoscopy is the second action to visualize and safely remove the battery from the esophagus, following the initial step of keeping the child NPO.
Extract:
Question 5 of 5
A nurse is caring for a 1-year-old child who has been hospitalized. Which of the following items in the child's room is a common source of health care-associated infection?
Correct Answer: B
Rationale: A. Unopened bottles of formula are not typically a source of healthcare-associated infection. B. Bedside computer keyboards can harbor various pathogens and are commonly touched by multiple individuals without thorough cleaning, making them a common source of healthcare-associated infections. C. Disposable diapers, if properly disposed of and not reused, are not typically a source of healthcare-associated infection. D. Protective plastic gowns, if used appropriately, are not typically a source of healthcare-associated infection.