ATI RN
ATI RN Pediatric Nursing 2023 II Questions
Extract:
Question 1 of 5
A nurse is providing teaching to the parents of a school-age child newly diagnosed with a seizure disorder. The nurse should teach the parents to take which of the following actions during a seizure?
Correct Answer: B
Rationale: The correct answer is B: Clear the area of hard objects. During a seizure, the child may thrash around uncontrollably, posing a risk of injury if there are hard objects nearby. By clearing the area of such objects, the parents can help prevent the child from harming themselves during the seizure. Placing the child in a prone position (choice
A) is not recommended as it can obstruct breathing. Inserting a tongue blade between the teeth (choice
C) is also not advised as it can cause injury to the child's mouth during the seizure. Minimizing movement of the limbs (choice
D) is important to prevent injury, but clearing the area of hard objects takes precedence.
Question 2 of 5
A nurse is assessing a preschool-age child who is in the immediate postoperative period following a tonsillectomy. Which of the following assessment findings is the priority?
Correct Answer: D
Rationale: The correct answer is D: The child swallows frequently. This is the priority assessment finding because it could indicate bleeding post-tonsillectomy, which is a potential complication requiring immediate intervention to prevent further complications. The other options are not as urgent: A is expected after surgery, B can be managed by offering alternatives, and C is common postoperatively due to discomfort.
Question 3 of 5
A nurse is preparing to administer immunizations to a 3-month-old infant. Which of the following is an appropriate action for the nurse to take to deliver atraumatic care?
Correct Answer: B
Rationale:
Correct Answer: B - Provide a pacifier coated with an oral sucrose solution prior to the injections.
Rationale: Providing a pacifier coated with an oral sucrose solution helps to reduce pain perception and can soothe the infant during the immunization process. The sweet taste of sucrose triggers the infant's natural pain-relieving mechanisms, leading to decreased discomfort.
Summary of other choices:
A: Injecting the immunizations into the deltoid muscle may cause more pain and discomfort to the infant as this area is more sensitive.
C: Using a 20-gauge needle may increase pain perception due to its larger size, which is not ideal for atraumatic care.
D: Applying EMLA cream may be effective for pain relief, but it is not as quick-acting as providing oral sucrose solution before the injections.
Question 4 of 5
A nurse is prioritizing care for four clients. Which of the following clients should the nurse assess first?
Correct Answer: C
Rationale: The correct answer is C: An adolescent who has sickle cell anemia and slurred speech. This client should be assessed first because slurred speech could indicate a potential stroke, a life-threatening complication of sickle cell anemia. The nurse needs to act quickly to rule out this serious condition and initiate appropriate interventions.
Choices A, B, and D, while important, do not pose immediate life-threatening risks compared to the potential stroke in choice C. Care for the toddler with osteomyelitis can be safely delayed for a brief period, the adolescent in skin traction can be managed with pain medications until the nurse assesses the client with slurred speech, and the toddler with a burn can wait for the dressing change while the nurse addresses the urgent situation with the adolescent.
Extract:
History and Physical: 5-year-old male, 18 kg (39.7 lb), Admitted following a motor-vehicle crash Surgical procedure: L leg open reduction and fixation, L arm closed reduction and fixation
Question 5 of 5
A nurse is caring for a child who is 2 hr postoperative. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D: Compare the child's pedal pulses. This is the first action the nurse should take to assess the child's circulation status postoperatively. Checking pedal pulses helps determine peripheral perfusion and any possible complications like decreased blood flow. Assessing pain (
A) is important but not the priority for circulation assessment. Rechecking temperature (
B) is not a priority unless there are specific concerns. Determining sedation level (
C) is important but secondary to assessing circulation.
Therefore, comparing pedal pulses is the first step to ensure adequate perfusion and detect any potential issues.