ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
Question 1 of 5
A nurse is teaching the guardian of a toddler about discipline. Which of the following statements by the guardian indicates an understanding of the teaching?
Correct Answer: A
Rationale:
Correct Answer: A: "I will use reasoning to explain to my child why their behavior was wrong."
Rationale:
1. Using reasoning helps the child understand the consequences of their actions, promoting learning.
2. It encourages open communication and trust between the child and the guardian.
3. It helps the child develop critical thinking skills and self-regulation.
Summary of Incorrect
Choices:
B. Ignoring temper tantrums doesn't address the behavior and may reinforce it.
C. Giving only one warning may not provide enough opportunity for learning and behavior correction.
D. Reminding of past misbehavior can lead to resentment and may not effectively address the current behavior.
Extract:
Nurses notes 0930: Parent presents child to provider's office. Parent reports the child has had a fever for 2 days and that the child has cried more than usual. Parent also reports the child has had a decreased appetite for the last 24 hr. Child febrile and lethargic. 0945: Notified provider of parent reports and child's fever. New prescriptions received. 1000: Urine sample obtained via sterile straight catheter.
Question 2 of 5
The child is at risk for developing ___ and ___.
Correct Answer: A,B
Rationale: The correct answer is A (pyelonephritis) and B (renal scarring). Pyelonephritis is a bacterial infection of the kidneys, common in children, leading to kidney inflammation and scarring. Renal scarring can result from untreated or recurrent pyelonephritis, impairing kidney function. Nephrotic syndrome (
C) is characterized by proteinuria and edema, not directly associated with pyelonephritis. Acute glomerulonephritis (
D) is also a kidney inflammation but typically caused by immune responses, not directly related to pyelonephritis. Polycystic kidney (E) is a genetic disorder causing cysts in the kidneys, not a risk associated with pyelonephritis.
Extract:
10-year-old child receiving chemotherapy
Question 3 of 5
A nurse is caring for a 10-year-old child who is receiving chemotherapy. The child's guardian asks about managing adverse effects. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: Use a soft-bristled toothbrush when platelet levels are low. This is important because chemotherapy can lower platelet levels, increasing the risk of bleeding. Using a soft-bristled toothbrush reduces the risk of gum bleeding or injury.
Choice B is incorrect because encouraging favorite foods may not always be suitable during chemotherapy, as some foods may exacerbate side effects or interact with medications.
Choice C is incorrect because chlorhexidine mouthwash can be too harsh for a child undergoing chemotherapy and may further irritate the mouth.
Choice D is incorrect because antiemetics should be administered as prescribed by the healthcare provider, not just for a specific time period after chemotherapy.
In summary, the correct answer focuses on a specific precaution related to the child's health condition, while the other choices may not be appropriate or relevant in this context.
Extract:
4-year-old child
Question 4 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: D
Rationale:
Correct Answer: D. Apply a topical anesthetic cream 1 hr prior to the procedure.
Rationale: Applying a topical anesthetic cream helps reduce pain and discomfort during the venipuncture procedure, promoting atraumatic care. It numbs the area, making the procedure less painful for the child. This approach aligns with the principles of providing care in a child-friendly and minimally traumatic manner.
Summary:
A: Asking the parent to leave may increase the child's anxiety, contrary to atraumatic care.
B: Explaining the procedure in detail 3 hr prior may cause unnecessary stress and anxiety for the child.
C: Performing the procedure in the playroom may not address the pain and discomfort associated with the procedure.
E, F, G: Not provided, but applying a topical anesthetic cream remains the most appropriate choice for atraumatic care.
Extract:
Toddler who is cognitively impaired
Question 5 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: A
Rationale: The correct answer is A: FLACC. The FLACC scale is specifically designed for assessing pain in non-verbal or cognitively impaired individuals, such as toddlers. It evaluates five categories: Face, Legs, Activity, Cry, and Consolability. Each category is scored from 0-2, and the total score helps gauge the pain level. This scale is effective for assessing pain in individuals who cannot verbalize their discomfort.
Visual analog (
B) and FACES (
C) scales rely on the patient's ability to understand and communicate their pain level, which may not be suitable for a cognitively impaired toddler. The CRIES scale (
D) is used for newborns and infants, not toddlers.