ATI RN
ATI RN Pediatric Nursing 2023 II Questions
Extract:
Question 1 of 5
A nurse is reviewing safety measures with a group of parents to prevent burn injuries for toddlers. Which of the following safety measures should the nurse include in the teaching?
Correct Answer: B
Rationale: Setting the water heater to 60°C (140°F) increases the risk of scalding burns, so it is not a recommended safety measure.
Toddlers are curious and may try to pull or chew on electrical wires, which can cause electrocution or fire hazards. The nurse should advise parents to keep electrical wires out of reach or secured with cord covers or tape. Encouraging outdoor activities between 1100 and 1300 exposes toddlers to excessive sun exposure and heat, which can cause sunburns or heatstroke. Turning pot handles toward the front of the stove is a dangerous practice that can cause toddlers to reach for them and spill hot liquids or food on themselves.
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 2 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: While assessing pain level is important, ensuring adequate perfusion and circulation takes precedence. Rechecking the child's temperature may be necessary but is not as immediately critical as assessing pedal pulses. Determining the child's sedation level is important for monitoring postoperative status but is not the priority at this time. Assessing the child's pedal pulses is crucial following a motor-vehicle crash and surgical procedures involving the lower extremities. It helps to evaluate the perfusion and circulation to the extremities, especially after a leg open reduction and fixation surgery.
Extract:
Question 3 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 child's throat pain is expected post-tonsillectomy and can be managed using analgesics or an ice collar. However, this is not a priority finding compared to frequent swallowing which may indicate bleeding which is a life-threatening complication of tonsillectomy. Refusing clear liquids may indicate discomfort but is not as urgent as a potential increase in throat pain. Crying often may be a response to discomfort but does not necessarily indicate a complication requiring immediate intervention. This assessment finding indicates that the child might have bleeding in the throat, which is a life-threatening complication of tonsillectomy.
Question 4 of 5
A nurse is planning postoperative care for an adolescent following scoliosis repair with spinal instrumentation. Which of the following actions should the nurse include in the plan of care?
Correct Answer: D
Rationale: Offering sips of water 4 hours following surgery may be too early and could increase the risk of postoperative complications such as nausea and vomiting. Assisting the adolescent to ambulate 12 hours following surgery may be too early depending on the surgical procedure and the adolescent's condition. Maintaining the head of the bed at a 30° angle is incorrect because this position increases pressure on the spinal cord and can cause complications. Logrolling the adolescent every 2 hours prevents spinal injury and promotes healing by keeping the spine in alignment.
Question 5 of 5
A nurse is planning care for a child who has a prescription to transfuse 2 units of packed RBCs. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: A
Rationale: Packed red blood cells should typically be infused within 4 hours to reduce the risk of bacterial contamination and ensure potency. Dextrose 5% in water is not typically infused with packed RBCs; the focus is on administering blood products as prescribed. Blood products are typically stored under controlled conditions and transfused promptly after verification and compatibility checks. Filtered IV tubing is often used for blood transfusions to minimize the risk of air embolism and particle infusion.