ATI RN
ATI Nurs 243 Pediatrics Exam Questions
Extract:
A school-age girl who had an arterial cardiac catheterization, with a 'wet' bandage soaked with blood.
Question 1 of 5
The nurse is caring for a school-age girl who had an arterial cardiac catheterization. The child tells the nurse that the bandage is 'wet.' On assessment, the bandage and bed are soaked with blood. The nurse must do which of the following FIRST?
Correct Answer: A
Rationale: Applying direct pressure at the site and one inch above the catheterization site is the immediate priority to control the bleeding and prevent further blood loss.
Extract:
A newborn child whose mother does not wish for immunizations due to concerns about MMR vaccine causing autism.
Question 2 of 5
The mother of a newborn child does not wish for her child to receive immunizations because she has read that immunizations, especially MMR vaccine, cause autism. Which of the following statements by the nurse is the FIRST response?
Correct Answer: D
Rationale: Providing accurate, evidence-based information is the best first response. It addresses the mother's concerns directly and helps correct misinformation.
Extract:
A 4-year-old boy who has cerebral palsy, whose parents have taken his name off the list for baseball next season.
Question 3 of 5
A nurse is speaking with the parents of a 4-year-old boy who has a cerebral palsy. The parents tell the nurse they have taken their son's name off the list for baseball next season. Which of the following is the BEST response for the nurse to make?
Correct Answer: C
Rationale: Asking to discuss their decision and explore alternatives is the best response as it opens a dialogue, provides support, and helps the parents consider other options for their child's participation in activities.
Extract:
Patients with 24-hour Holter monitor diaries.
Question 4 of 5
The nurse is reviewing 24-hour Holter monitor diaries of various patients. Which of the following entries is the MOST complete?
Correct Answer: B
Rationale: This entry is the most complete as it includes the time, activity (basketball practice), symptom (dizziness), absence of loss of consciousness, and relevant detail (no caffeine intake), giving a comprehensive picture of the patient's experience.
Extract:
A school-aged child undergoing a bone marrow aspiration and biopsy.
Question 5 of 5
The nurse understands that which of the following interventions is the MOST effective at relieving pain and discomfort during a bone marrow aspiration and biopsy for a school-aged child?
Correct Answer: C
Rationale: Conscious or unconscious sedation is the most effective intervention to relieve pain and discomfort during a bone marrow aspiration and biopsy, ensuring the child is adequately sedated and comfortable.