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:
Correct Answer: B - Keep electrical wires hidden from view.
Rationale: Keeping electrical wires hidden reduces the risk of toddlers getting access to them, preventing electrical burns. This safety measure is crucial as toddlers are curious and may try to touch or play with exposed wires, which can lead to serious injuries.
Summary of Other
Choices:
A: Setting the water heater to 60°C (140°F) may scald toddlers if the water is too hot. This measure does not specifically address burn prevention for toddlers.
C: Encouraging outdoor activities between specific hours does not directly relate to burn prevention. It is important for sun safety but does not address burn injuries from other sources.
D: Turning pot handles toward the front of the stove is a good safety practice to prevent accidental spills and burns, but it does not cover the broader aspect of burn prevention for toddlers.
Extract:
History and Physical: A 15-year-old adolescent is admitted for a vaso-occlusive crisis. The parent reports that the adolescent has a low-grade fever and has vomited for 3 days. The adolescent reports having right-sided and low back pain. They also report hands and right knee are painful and swollen. The client reports pain as 8 on a scale of 0 to 10.
Question 2 of 5
Select the 5 interventions the nurse should include.
Correct Answer: B,C,D
Rationale: The correct interventions are B, C, and D. B: Hydroxyurea helps decrease sickle cell crisis frequency. C: Meperidine is used for pain management in sickle cell disease. D: Pneumococcal vaccine helps prevent infections. A is incorrect as oral intake should not be restricted in sickle cell crisis. E, F, and G are not provided in the question.
Extract:
Question 3 of 5
A nurse is caring for a 4-year-old child who has meningitis and is receiving gentamicin. Which of the following laboratory values should the nurse report to the provider?
Correct Answer: C
Rationale: The correct answer is C: Creatinine 1.4 mg/dL (0.2 to 0.5 mg/dL). This value is elevated, indicating potential kidney dysfunction, which is a common adverse effect of gentamicin. The nurse should report this to the provider for further evaluation and possible adjustment of the medication dosage.
A: Creatinine 0.3 mg/dL is within the normal range.
B: BUN 12 mg/dL is within the normal range.
D: BUN 6 mg/dL is within the normal range.
In summary, the nurse should report an elevated creatinine level as it suggests possible kidney damage due to gentamicin. The other choices are within normal limits and do not warrant immediate attention.
Question 4 of 5
A nurse is evaluating the pain level of a toddler who is cognitively impaired to a nonpharmacologic intervention. Which of the following pain scales should the nurse use to evaluate the toddler's pain level?
Correct Answer: C
Rationale: The correct answer is C: FLACC. The FLACC scale is specifically designed for assessing pain in nonverbal individuals such as toddlers or cognitively impaired patients. It evaluates Facial expression, Leg movement, Activity, Cry, and Consolability. This scale is suitable for assessing pain in this population as it focuses on observable behaviors that may indicate pain. The Visual Analog scale (
A) requires the ability to comprehend and communicate pain levels, which may be challenging for a cognitively impaired toddler. The FACES scale (
B) relies on the individual's ability to understand and point to facial expressions representing pain, which may not be possible for the toddler in this scenario. The CRIES scale (
D) is typically used for neonates and may not be appropriate for a toddler.
Question 5 of 5
A school nurse is assessing a 7-year-old student. The nurse should identify which of the following findings as a potential indicator of physical abuse?
Correct Answer: D
Rationale: The correct answer is D: Bruising around the wrists. This finding is concerning for physical abuse because bruises around the wrists are not commonly seen in accidental injuries. These bruises may indicate that the child was grabbed or restrained forcefully. It is crucial for the nurse to further assess the nature, location, and pattern of the bruising to determine if it raises suspicion of abuse. Abrasions on the knees (choice
A) are more likely to be related to normal childhood activities. Front deciduous teeth missing (choice
B) is a common occurrence in children due to natural tooth loss. Weight in the 45th percentile (choice
C) is within the normal range and does not specifically indicate physical abuse.