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 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 3 of 5
A nurse is assessing a school-age child who has heart failure and is taking furosemide. Which of the following findings should the nurse identify as an indication that the medication is effective?
Correct Answer: B
Rationale: The correct answer is B: A decrease in peripheral edema. Furosemide is a loop diuretic that works by increasing urine output, reducing fluid retention, and decreasing edema in patients with heart failure.
Therefore, if the medication is effective, the nurse should expect to see a reduction in peripheral edema as a result of the decreased fluid volume in the body.
Choices A, C, and D are incorrect because an increase in potassium levels, a decrease in cardiac output, and an increase in venous pressure are not expected outcomes of furosemide therapy and would actually indicate an ineffective treatment or potential complications.
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: C
Rationale: The correct answer is C: Monitor for pallor or swelling in the child's affected hand. This is the priority because it indicates circulation issues, such as compartment syndrome, which is a medical emergency that can lead to tissue damage. Skin irritation at cast edges (
A) is important but not as urgent as circulation issues. Restricting strenuous activities (
B) is important for healing but not the priority. Using a hair dryer for itching (
D) can introduce moisture into the cast, leading to skin breakdown.
Question 5 of 5
A nurse is obtaining informed consent for an adolescent who is scheduled for a cardiac catheterization. The adolescent's guardian states, 'I don't understand why they need to do this procedure.' Which of the following actions should the nurse take?
Correct Answer: B
Rationale:
Correct Answer: B
Rationale: The nurse should explain the procedure to both the adolescent and their guardian to ensure they understand the purpose, risks, and benefits. This fosters informed decision-making. It is essential for the guardian to comprehend why the procedure is necessary to provide valid consent. Requesting assistance from the anesthesiologist (
A) may not address the guardian's concerns directly. Witnessing the adolescent's signature (
C) is important but does not address the guardian's lack of understanding. Notifying the provider (
D) is not the immediate action needed to address the guardian's concern.