ATI RN
ATI RN Pediatric Nursing 2023 Questions
Extract:
A charge nurse is observing a staff nurse who is caring for a child who has pertussis.
Question 1 of 5
Which of the following actions by the staff nurse indicates an understanding of infection control practices?
Correct Answer: A
Rationale: The correct answer is A because maintaining droplet precautions while the child is coughing and sneezing is essential to prevent the spread of infections through respiratory droplets. This action shows understanding of infection control practices by implementing necessary precautions in response to specific situations.
Choice B is incorrect because wearing a face mask upon entering the room may not be necessary unless the child is actively coughing or sneezing.
Choice C is incorrect as gloves should be worn for direct contact with bodily fluids, not just assisting a child to the bathroom.
Choice D is incorrect as airborne precautions with N95 respirator are not necessary for droplet precautions.
Extract:
A nurse is prioritizing care for four clients.
Question 2 of 5
Which of the following clients should the nurse assess first?
Correct Answer: C
Rationale: The correct answer is C. The nurse should assess the adolescent with sickle cell anemia and slurred speech first because slurred speech could be a sign of a stroke, a serious complication of sickle cell anemia. Assessing for neurological deficits is crucial as prompt intervention can prevent further complications.
Choice A is incorrect as the toddler with osteomyelitis receiving an IV bolus of nafcillin can wait momentarily as the medication is not for an emergent condition.
Choice B is incorrect as pain level 7 in an adolescent in skin traction is important but not as urgent as assessing for potential neurological complications in choice C.
Choice D is incorrect as the toddler with a partial-thickness burn, while needing care, does not require immediate assessment for life-threatening conditions like stroke.
Extract:
A nurse is preparing to administer immunizations to a 3-month-old infant.
Question 3 of 5
Which of the following is an appropriate action for the nurse to take to deliver atraumatic care?
Correct Answer: B
Rationale: The correct answer is B: Provide a pacifier coated with an oral sucrose solution prior to the injections. This is appropriate for atraumatic care as it helps reduce pain perception and stress in infants during procedures. Sucrose has been shown to have analgesic effects and can help comfort and soothe the infant. Using EMLA cream (choice
A) may reduce pain from injections but does not address the psychological aspect of the procedure. Injecting immunizations into the deltoid muscle (choice
C) is a standard practice but does not specifically address atraumatic care. Using a 20-gauge needle (choice
D) may not be necessary for infants and could increase pain.
Extract:
A nurse is caring for an adolescent who has major depressive disorder.
Question 4 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A. Asking the client if he is considering harming himself is the first action the nurse should take as it addresses the immediate safety of the client. This step is crucial in assessing the client's risk of self-harm or suicide, allowing for appropriate interventions to be implemented promptly. Encouraging the client to attend group therapy (
B) may be helpful but does not address the immediate safety concern. Administering an antidepressant (
C) is important but should come after assessing the client's safety. Assisting the client in completing ADLs (
D) is important for overall care but not the priority when safety is a concern.
Extract:
A school nurse is assessing a 7-year-old student.
Question 5 of 5
The nurse should identify which of the following findings as a potential indicator of physical abuse?
Correct Answer: C
Rationale: The correct answer is C: Bruising around the wrists. This finding is a potential indicator of physical abuse because bruises around the wrists can suggest that someone forcefully grabbed or restrained the individual. It may also indicate defensive injuries. Front deciduous teeth missing (
A) and weight in 45th percentile (
B) are not specific to physical abuse. Abrasions on the knees (
D) are more likely related to accidental falls or play.