ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
A nurse is caring for a client.
Question 1 of 5
Which action demonstrates effective collaboration?
Correct Answer: B
Rationale: Effective collaboration involves seeking input and guidance from other healthcare professionals. Choosing option B, seeking guidance from the wound care nurse, is the correct answer as it demonstrates teamwork and utilizing the expertise of specialized colleagues for the best outcome. This action promotes effective communication, shared decision-making, and ensures that the dressing change is done correctly based on the nurse's expertise. Options A, C, and D are incorrect as they do not involve collaboration or seeking appropriate help from a qualified healthcare professional, which could lead to suboptimal patient care.
Extract:
A nurse is caring for a school-age child who weighs 20 kg (44 lb) and is postoperative with chest tubes in place.
Question 2 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Chest tube drainage of 200 mL in 1 hr. This finding indicates excessive drainage which could be a sign of hemorrhage or other complications. The nurse should report this to the provider immediately for further assessment and intervention to prevent further complications.
A: Serous chest tube drainage is a normal finding and does not require immediate reporting.
C: Fluctuation in the water-sealed chamber is a normal finding indicating proper functioning of the chest drainage system.
D: Respiratory rate of 22/min is within normal range and does not require immediate provider notification.
Overall, choice B is the correct answer as it signifies a potentially serious issue that needs prompt attention.
Extract:
Question 3 of 5
A nurse is planning care for a preschooler who has neutropenia. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: The correct answer is B: Avoid raw fruits and vegetables in the child's diet. Neutropenia is a condition characterized by a low neutrophil count, making the child more susceptible to infections. Raw fruits and vegetables may harbor bacteria, posing a risk of infection for the child with neutropenia.
Therefore, it is crucial to avoid these foods to reduce the risk of bacterial contamination. Administering vaccines (choice
A) may not be advisable due to the child's compromised immune system. Bathing the child every other day (choice
C) and obtaining rectal temperature once daily (choice
D) are not directly related to preventing infection in a child with neutropenia.
Question 4 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: D
Rationale: The correct answer is D: FLACC. The FLACC scale is specifically designed for assessing pain in nonverbal or cognitively impaired individuals, such as toddlers. It assesses five categories: Face, Legs, Activity, Cry, and Consolability. This scale is ideal for evaluating pain in this population as it considers behavioral cues rather than verbal communication.
A: CRIES scale is used for neonates, not toddlers.
B: FACES scale is more appropriate for older children who can indicate their pain using facial expressions.
C: Visual analog scale requires the ability to understand and mark on a scale, which may not be suitable for cognitively impaired toddlers.
E, F, G: No information provided.
Extract:
A nurse is caring for a 5-year-old child following a tonsillectomy and adenoidectomy.
Question 5 of 5
Which of the following findings should the nurse identify as an indication of hemorrhage?
Correct Answer: A
Rationale: The correct answer is A: Continuous swallowing. This finding indicates hemorrhage because blood pooling in the throat triggers the swallowing reflex. Continuous swallowing may suggest blood loss and the need for further assessment. Blood pressure of 95/56 mm Hg (choice
B) is low but alone may not specifically indicate hemorrhage. A heart rate of 54/min (choice
C) may be bradycardia but does not definitively point to hemorrhage. Flushing of the face (choice
D) is not a typical sign of hemorrhage.