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 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 3 of 5
A nurse is evaluating the pain level of a toddler who is cognitively impaired to a nonpharmacologic intervention. Which of the following pain scales should the nurse use to evaluate the toddler's pain level?
Correct Answer: C
Rationale: The correct answer is C: FLACC. FLACC stands for Face, Legs, Activity, Cry, and Consolability and is a pain assessment tool specifically designed for nonverbal or cognitively impaired individuals like toddlers. The tool assesses the toddler's facial expressions, leg movements, activity level, crying, and ability to be consoled. This comprehensive evaluation helps the nurse accurately determine the toddler's pain level. Visual analog scale (
A) and FACES scale (
B) require the ability to communicate and understand abstract concepts, making them unsuitable for cognitively impaired toddlers. CRIES scale (
D) is primarily used for infants and may not be as effective for toddlers.
Question 4 of 5
A nurse is teaching the parent of an infant who has a new diagnosis of heart failure about nutrition. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Implement a 3 hr feeding schedule. In heart failure, infants may have difficulty feeding due to increased work of breathing. Implementing a 3 hr feeding schedule ensures the infant has enough time to rest and conserve energy between feedings, reducing the risk of fatigue and respiratory distress.
Choices A and D are incorrect as they do not address the specific needs of an infant with heart failure.
Choice B is incorrect as placing the infant in a recumbent position during feeding can worsen respiratory distress.
Extract:
History and Physical: A 15-year-old adolescent is admitted for a vaso-occlusive crisis. The parent reports that the adolescent has a low-grade fever and has vomited for 3 days. The adolescent reports having right-sided and low back pain. They also report hands and right knee are painful and swollen. The client reports pain as 8 on a scale of 0 to 10. Vital signs: Temperature 37.8 C (100 F), Heart rate 100/min, Blood pressure 110/72 mm Hg, Respiratory rate 20/min, Oxygen saturation 95% on room air. Assessment: Awake, alert, and oriented X 3, Yellow sclera of eyes noted bilaterally, Right upper quadrant tender to palpation, Hands painful to touch and swollen bilaterally, Right knee is swollen, warm to palpation, and client reports pain as 8 on a scale of 0-10, Client is tearful and grimacing during the examination. Laboratory Results: Hct 28% (32% to 44%), Hgb 6g/dL (10 to 15.5 g/dL), WBC count 20,000/mm3 (6,200 to 17,000/mm3), ALT 50 units/L (4 to 36 units/L), AST 62 units/L (10 to 40 units/L), Total bilirubin 3.0 mg/dL (0.3 to 1.0 mg/dL), Chest radiographic examination indicates cardiomegaly and systolic murmur
Question 5 of 5
The nurse is planning care for the adolescent. Select the 5 interventions the nurse should include.
Correct Answer: A,C,D,E,G
Rationale: The correct interventions are A, C, D, E, and G. A: Monitoring oxygen saturation is crucial for assessing respiratory status. C: Giving oral hydroxyurea is essential for managing sickle cell disease. D: Administering meperidine IV for pain control is appropriate. E: Ensuring the pneumococcal vaccine is current helps prevent infections. G: Administering folic acid is part of managing sickle cell disease. Summary: B is incorrect as restricting oral intake may worsen dehydration. F is incorrect as strict bed rest is not recommended for adolescents.