ATI RN
ATI RN Pediatric Nursing 2023 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is teaching the parent of a school-age child about bicycle safety. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Your child should walk the bicycle through intersections. This instruction is important for bicycle safety as walking the bicycle through intersections allows the child to be more visible to drivers and reduces the risk of accidents. Riding against traffic (choice
A) is dangerous as it goes against traffic laws and increases the likelihood of collisions. Keeping the bicycle 3 feet from the curb (choice
B) is incorrect as it can put the child in the path of vehicles. Ensuring the child's feet are 3 to 6 inches off the ground (choice
D) is not a safety instruction related to bicycle riding.
Question 2 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: D
Rationale:
Correct Answer: D - Notify the provider who is scheduled to perform the procedure.
Rationale:
1. The provider performing the procedure is best suited to explain the necessity and details of the cardiac catheterization to address the guardian's concerns.
2. The provider can offer additional information, clarify any doubts, and ensure that the guardian makes an informed decision.
3. Involving the provider maintains a patient-centered approach and ensures comprehensive understanding before proceeding with the procedure.
Summary of Other
Choices:
A: Requesting assistance from the anesthesiologist may not directly address the guardian's concerns about the procedure.
B: Explaining the procedure is essential, but the provider performing the procedure is the most appropriate person to provide detailed information.
C: Witnessing the adolescent's signature is important but does not address the guardian's lack of understanding.
Question 3 of 5
A nurse is assessing a school-age child who is receiving prednisolone. For which of the following adverse effects should the nurse monitor?
Correct Answer: B
Rationale: The correct answer is B: Prolonged wound healing. Prednisolone is a corticosteroid that can suppress the immune system, leading to delayed wound healing. The nurse should monitor for this adverse effect by observing for slow or ineffective healing of any wounds the child may have. Stevens-Johnson syndrome (
A) is a severe skin reaction but is not a common side effect of prednisolone. Hypotension (
C) is not typically associated with prednisolone use. Renal failure (
D) is a potential adverse effect of long-term corticosteroid use but is less common compared to prolonged wound healing.
Question 4 of 5
A nurse is caring for a client who is postoperative following placement of a halo vest to manage a cervical vertebral fracture. Which of the following actions should the nurse take?
Correct Answer: B
Rationale:
Correct Answer: B - Reposition the client using a turning sheet.
Rationale: Repositioning using a turning sheet helps prevent complications such as pressure ulcers and nerve damage. The halo vest immobilizes the cervical spine, making it crucial to use proper techniques to move the client safely.
Incorrect
Choices:
A: Encouraging flexion and extension of the neck is contraindicated as it can disrupt spinal alignment and lead to further injury.
C: Assessing the pin sites for infection every other day is important, but not the immediate action needed for client safety and comfort.
D: Tightening the screws on the halo device without proper instruction can lead to complications, and it is not the nurse's role to adjust the device without specific orders from the healthcare provider.
Question 5 of 5
A nurse is assessing a child who is 2 hr postoperative following a cardiac catheterization and finds the dressing is saturated with blood. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Apply pressure just above the insertion site. This action is crucial to control the bleeding and prevent further complications. Applying pressure directly over the site helps to stop the bleeding and stabilize the child's condition. Monitoring the pulse distal to the insertion site (
B) is important but secondary to stopping the bleeding. Obtaining vital signs (
C) can wait until the bleeding is controlled. Reinforcing the dressing (
D) is not the priority as the dressing is already saturated with blood.