ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
Question 1 of 5
A nurse is teaching a newly-licensed nurse about age-appropriate guidelines to prepare a school-age child for a procedure. Which of the following statements indicates that the newly-hired nurse understands the teaching?
Correct Answer: A
Rationale: Using simple diagrams is effective for explaining procedures to school-age children, aiding their understanding.
Extract:
A nurse is planning care for a preschooler who has neutropenia.
Question 2 of 5
Which of the following interventions should the nurse include in the plan?
Correct Answer: C
Rationale: The correct answer is C: Avoid raw fruits and vegetables in the child's diet. This is because raw fruits and vegetables may contain harmful bacteria that can cause foodborne illnesses, especially in children with weakened immune systems. Administering vaccines, obtaining rectal temperature, and bathing frequency are not directly related to preventing foodborne illnesses.
Therefore, they are not the priority interventions in this scenario.
Extract:
Question 3 of 5
A nurse is evaluating the pain level of a toddler who is cognitively impaired to a non-pharmacologic intervention. Which of the following pain scales should the nurse use to evaluate the toddler's pain level?
Correct Answer: D
Rationale: The correct answer is D: FLACC. The FLACC scale is specifically designed for assessing pain in nonverbal or cognitively impaired individuals, such as toddlers. It assesses five categories: Face, Legs, Activity, Cry, and Consolability. This scale is ideal for evaluating pain in this population as it considers behavioral cues rather than verbal communication.
A: CRIES scale is used for neonates, not toddlers.
B: FACES scale is more appropriate for older children who can indicate their pain using facial expressions.
C: Visual analog scale requires the ability to understand and mark on a scale, which may not be suitable for cognitively impaired toddlers.
E, F, G: No information provided.
Question 4 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 information to include because it indicates a potential complication, such as impaired circulation or compartment syndrome, which requires immediate attention to prevent further harm. Pallor or swelling in the affected hand could be signs of decreased blood flow or increased pressure within the cast, leading to tissue damage. It is crucial to monitor these signs closely to prevent any serious consequences.
Explanations for why the other choices are incorrect:
A: Using a hair dryer on a cool setting to relieve itching is not a priority compared to monitoring for circulation issues.
B: Examining the child for skin irritation at the cast edges is important but not as critical as monitoring for pallor or swelling.
C: Restricting strenuous activities for 3 days is important for proper healing but does not address immediate complications.
Overall, monitoring for pallor or swelling is the priority as it requires immediate action to prevent potential complications.
Extract:
A nurse is assessing an 18-month-old toddler during a well-child visit.
Question 5 of 5
Which of the following findings should the nurse identify as a potential developmental delay?
Correct Answer: B
Rationale: The correct answer is B: Walks with assistance. Walking independently is a milestone typically achieved around 12-15 months. Walking with assistance beyond this age may indicate a developmental delay in gross motor skills. Engaging in parallel play (
A) is typical for toddlers. Speaking at least 10 words (
C) is a language development milestone. Building a tower of 3 blocks (
D) is a fine motor skill milestone. The absence of other choices indicates they are not relevant to developmental delays.