ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
A nurse is applying soft limb restraints to a child who is acting aggressively toward staff.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action for the nurse to take is to secure the restraints with a quick-release knot (
Choice
C). This is important for the safety of the child as quick-release knots allow for easy and quick removal in case of an emergency. Tying the restraints to the side rails of the bed (
Choice
B) can pose a risk of entrapment and restrict movement. Requesting the provider to renew the prescription every 48 hours (
Choice
A) is not directly related to the immediate action of securing the restraints. Assessing the child every 4 hours (
Choice
D) is important but does not address the immediate action needed.
Extract:
A nurse is teaching a child who has asthma about using a metered-dose inhaler with a mouthpiece.
Question 2 of 5
Identify the sequence of steps the nurse should instruct the child to take.
Order the Items
Source Container
Correct Answer: A,C,B,D
Rationale: The correct order is A, C, B, D. First, the child should depress the canister while inhaling slowly (
A) to ensure proper medication delivery. Holding the breath for 10 seconds (
C) allows for optimal absorption. Removing the inhaler from the mouth (
B) prevents further inhalation. Finally, exhaling slowly through the nose (
D) helps in maintaining the medication in the respiratory tract. Other choices are incorrect as they do not follow the logical sequence required for effective inhaler use.
Extract:
A nurse is planning care for an infant who has a prescription for a Pavlik harness.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale:
Rationale: Option C is correct because massaging the skin under the straps daily helps improve circulation and prevent pressure sores. Lengthening the straps weekly (Option
A) is not necessary unless the harness is too tight. Positioning the diaper over the straps (Option
B) can cause friction and skin irritation. Applying lotion (Option
D) can create a moist environment and increase the risk of skin breakdown.
Extract:
A nurse is preparing to perform a venipuncture on a 4-year-old child.
Question 4 of 5
Which of the following actions should the nurse take to ensure atraumatic care?
Correct Answer: D
Rationale: The correct answer is D: Apply a topical anesthetic cream 1 hour prior to the procedure. This action promotes atraumatic care by minimizing pain and discomfort for the child during the procedure. Applying the cream in advance allows time for the anesthetic to take effect, reducing the child's anxiety and fear. It also demonstrates the nurse's consideration for the child's well-being and comfort.
Other choices are incorrect because:
A: Asking the child's parent to leave the room may increase the child's anxiety and make the experience more traumatic.
B: Performing the procedure in the playroom may not necessarily reduce the trauma if the child is still experiencing pain.
C: Explaining the procedure in detail 3 hours prior may cause unnecessary worry and anxiety for the child, increasing trauma.
Overall, applying a topical anesthetic cream is the most effective and compassionate approach to ensuring atraumatic care for the child.
Extract:
A nurse is obtaining informed consent for an adolescent who is scheduled for a cardiac catheterization. The adolescent's guardian states, "I don't understand why they need to do this procedure."
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D. The nurse should notify the provider scheduled to perform the procedure because they are responsible for ensuring that the correct information is communicated to the provider directly involved in the procedure. This is crucial for patient safety and continuity of care.
Choice A is important but does not address the immediate need to inform the provider.
Choice B is important but does not address the need to communicate with the provider.
Choice C is unnecessary as the nurse should directly communicate with the provider.