ATI RN
ATI RN Pediatrics Nursing 2023 I Questions
Extract:
A nurse is preparing to insert a peripheral intravenous (IV) catheter for a preschooler.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action is C: Apply vapocoolant spray before the IV insertion. This helps numb the area, reducing pain during catheter placement. Asking the child to hold their breath (
A) is unnecessary and may cause anxiety. Explaining the procedure (
B) is important but does not directly impact pain management. Placing the IV in the dominant arm (
D) is not recommended as it may restrict movement post-insertion.
Extract:
A nurse is caring for a preschooler who has a gastrostomy tube.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Use barrier ointments around the site. This is the appropriate action to prevent skin breakdown and irritation around the tube site. Barrier ointments create a protective layer between the skin and the tube, reducing friction and moisture-related skin damage.
Choice B is incorrect as hydrogen peroxide can be too harsh and may cause further skin irritation.
Choice C is incorrect as maintaining tension can lead to pressure ulcers.
Choice D is incorrect as transparent dressings may not provide adequate protection from friction and moisture.
Extract:
A nurse is preparing to obtain a urine specimen from a 5-month-old infant using a urine collection bag.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A because attaching the bag first to the perineum ensures secure positioning without leakage. Attaching it to the skin above the urethra allows for proper drainage.
Choice B is incorrect as the bag should not be removed after voiding.
Choice C is incorrect as absorbent cotton balls can interfere with urine collection.
Choice D is incorrect as petroleum jelly can contaminate the specimen.
Extract:
A nurse is preparing to insert a peripheral intravenous (IV) catheter for a preschooler.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action is C: Apply vapocoolant spray before the IV insertion. This helps numb the area, reducing pain during catheter placement. Asking the child to hold their breath (
A) is unnecessary and may cause anxiety. Explaining the procedure (
B) is important but does not directly impact pain management. Placing the IV in the dominant arm (
D) is not recommended as it may restrict movement post-insertion.
Extract:
A nurse is assessing a school-age child prior to administering digoxin.
Question 5 of 5
For which of the following findings should the nurse withhold the medication?
Correct Answer: C
Rationale: The correct answer is C: Heart rate 64/min. A heart rate of 64/min is below the normal range (60-100/min) for adults, indicating bradycardia, which can be a sign of decreased cardiac output. The nurse should withhold medication that can further lower the heart rate and worsen the condition.
A: Urine output 25 mL/hr is low but not necessarily a reason to withhold medication.
B: Oxygen saturation 88% is below the normal range (95-100%) but is not a direct contraindication to withhold medication.
D: Respiratory rate 18/min is within the normal range (12-20/min) and not a reason to withhold medication.