ATI RN
ATI RN Pediatric Nursing 2023 II Questions
Extract:
Question 1 of 5
A nurse is teaching the guardian of a newborn about how to prepare their 3-year-old child to meet their new sibling. Which of the following statements should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: Provide a doll for your 3-year-old child to imitate parental behaviors. This is the best choice as it allows the older sibling to role-play and learn about caregiving, fostering a sense of involvement and preparation for the new sibling.
Choice A is incorrect as it may create unnecessary anxiety for the child.
Choice C may oversimplify the situation and not adequately prepare the child.
Choice D is incorrect as it is important to prepare the older sibling before the arrival of the newborn.
Question 2 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: The correct answer is D: Ensure two nurses logroll the adolescent every 2 hr. This is important post-scoliosis repair with spinal instrumentation to prevent complications like pressure ulcers or injury to the surgical site. Logrolling helps maintain alignment of the spine and reduces strain on the surgical area. Offering sips of water 4 hr postop (
A) may not be appropriate due to anesthesia effects. Ambulating 12 hr postop (
B) may be too early and risky. Maintaining the bed at a 30° angle (
C) is not specific to spinal surgery care.
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: The correct answer is C: Apply a topical anesthetic cream 1 hr prior to the procedure. This action ensures atraumatic care by numbing the area of the venipuncture, reducing pain and anxiety for the child. Asking the parent to leave (
A) may increase the child's anxiety. Performing the procedure in a playroom (
B) may not provide the necessary sterile conditions. Explaining the procedure to the child in detail hours before (
D) may not address the immediate anxiety and pain during the venipuncture.
Question 4 of 5
A nurse is teaching a group of parents about childhood immunizations. The nurse should identify that infants should receive the first dose of which of the following immunizations at 12 months of age?
Correct Answer: B
Rationale: The correct answer is B: Varicella. At 12 months, infants should receive the first dose of the Varicella vaccine to protect against chickenpox. This timing is crucial as chickenpox can be severe in young children. A: Inactivated polio virus is typically given at 2 months, 4 months, 6-18 months, and 4-6 years. C: Human papillomavirus vaccine is usually given to adolescents around 11-12 years. D: Hepatitis B vaccine is given at birth, 1-2 months, and 6-18 months.
Therefore, B is the correct choice for the 12-month immunization schedule.
Question 5 of 5
A nurse is caring for a group of toddlers receiving digoxin therapy. For which of the following toddlers should the nurse revise the plan of care?
Correct Answer: A
Rationale: The correct answer is A. If a toddler receiving digoxin therapy has vomited 2 times in the last hour, it can lead to decreased absorption of digoxin and potentially lower therapeutic levels in the bloodstream. This situation requires a revision of the plan of care to ensure the toddler receives the necessary dose of digoxin.
Incorrect choices:
B: A digoxin level of 1.2 ng/mL falls within the therapeutic range of 0.8-2 ng/mL, so no immediate revision of the plan of care is needed.
C: An apical pulse of 100/min could be within the expected range for a toddler, especially when receiving digoxin therapy. Monitoring is important, but it may not require an immediate revision of the plan of care.
D: A potassium level of 4.0 mEq/L is within the normal range, so no revision of the plan of care is necessary based on this value.