ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
A nurse is preparing to collect a capillary blood specimen from the heel of a 4-month-old infant.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B because puncturing the outer aspect of the heel is the appropriate technique for obtaining a blood sample in a heel stick procedure. This area has a rich blood supply, making it ideal for sampling.
Choice A is incorrect because applying a cool pack can cause vasoconstriction, making it harder to obtain a sample.
Choice C is incorrect as using a surgical blade is not recommended due to the risk of injury and contamination.
Choice D is incorrect because wiping the site with alcohol after the puncture can introduce contaminants. Overall, puncturing the outer aspect of the heel is the safest and most effective method for obtaining a blood sample in this scenario.
Extract:
A nurse is evaluating the pain level of a toddler who is cognitively impaired to a non-pharmacologic intervention.
Question 2 of 5
Which of the following pain scales should the nurse use to evaluate the toddler's pain level?
Correct Answer: A
Rationale: The correct answer is A: FLACC. FLACC (Face, Legs, Activity, Cry, Consolability) scale is specifically designed for assessing pain in nonverbal patients like toddlers. It evaluates different indicators of pain behavior, providing a comprehensive assessment. FACES and Visual analog scales are more suitable for older children or adults as they require self-reporting. CRIES scale is used for neonates, not toddlers. Using FLACC ensures accurate pain assessment in toddlers.
Extract:
Question 3 of 5
A nurse is reviewing the medical record of a toddler who is scheduled for surgery. Which of the following information should the nurse recognize as a potential risk for a latex allergy?
Correct Answer: C
Rationale: The correct answer is C: History of spina bifida. Spina bifida is a congenital condition associated with multiple surgeries and medical interventions, increasing exposure to latex products and thus the risk of developing a latex allergy. Suspected autism spectrum disorder (choice
A) is not directly linked to latex allergy. Diagnosis of hypospadias (choice
B) and previous cleft palate repair (choice
D) do involve surgeries but are not as strongly associated with latex exposure as spina bifida.
Extract:
A nurse is providing discharge teaching to the parents of a school-age child following surgery and cast application to the right forearm.
Question 4 of 5
Which of the following information is the priority for the nurse to include?
Correct Answer: C
Rationale: The correct answer is C: Monitor for pallor or swelling in the child's affected hand. This is the priority because it indicates potential complications like impaired circulation or infection, which can be serious. Restricting activities (
A) is important but not as critical as monitoring for complications. Using a hair dryer (
B) can cause burns or damage to the cast. Examining for skin irritation (
D) is important but not as urgent as monitoring for circulation issues.
Extract:
A nurse is assessing a 7-year-old child who has diabetes mellitus.
Question 5 of 5
Which of the following findings should the nurse identify as a manifestation of hypoglycemia?
Correct Answer: D
Rationale: The correct answer is D: Shakiness. Hypoglycemia is characterized by low blood sugar levels, leading to symptoms like shakiness, sweating, confusion, and dizziness. Shakiness occurs as a result of the brain not receiving enough glucose for energy production. Increased capillary refill (
A) is not typically associated with hypoglycemia. Decreased appetite (
B) and thirst (
C) are more commonly seen in conditions like hyperglycemia.
Therefore, the correct manifestation of hypoglycemia is shakiness due to inadequate glucose supply to the brain.