ATI RN
ATI RN Pediatrics Nursing 2023 Questions
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 1 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Nurses clarify basics, but providers explain procedures fully. Witnessing signatures doesn't address confusion. Anesthesiologists aren't responsible for procedure details. Notifying the provider ensures proper informed consent.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Nurses clarify basics, but providers explain procedures fully. Witnessing signatures doesn't address confusion. Anesthesiologists aren't responsible for procedure details. Notifying the provider ensures proper informed consent.
Extract:
A nurse is teaching the guardian of a newborn about how to prepare their 3-year-old child to meet their new sibling.
Question 3 of 5
Which of the following statements should the nurse make?
Correct Answer: A
Rationale: A doll encourages nurturing, easing adjustment.
Total routine changes cause stress. A newborn isn't a playmate yet, setting false expectations. Moving from crib late may foster resentment.
Extract:
A nurse is applying soft limb restraints to a child who is acting aggressively toward staff.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Restraint prescriptions need renewal every 24 hours. Tying to side rails risks injury; use the bed frame. Quick-release knots ensure safety. Assessments should occur every 2 hours, not 4, for safety.
Extract:
Nurses' Notes (0700 hrs): Received the child awake, alert, and crying. Parent states that the child was playing with a remote control toy and when the parent heard the child crying, they noticed that a battery was missing from the toy. The parent states that the child was drooling more than usual and witnessed them gagging periodically. Child is lying on the parent's chest with eyes open and requesting a ‘sippy cup'. Continues to have expiratory wheezing in bilateral upper lobes. Preparing the child for diagnostic testing; Vital Signs (0700 hrs): Heart rate: 90/min, Blood pressure: 88/45 mm Hg, Respiratory rate: 30/min, Oxygen saturation: 96%, Axillary temperature: 36.9° C (98.4° F); Diagnostic Results (0730 hrs): X-ray of the neck, chest, and abdomen completed. Biplane radiographic study identifies an object in the esophagus. No foreign objects visualized in the chest or abdomen; Provider's Prescriptions (0745 hrs): Keep the child NPO, Prepare the child for flexible endoscopy, Obtain informed consent from the parents, Monitor the child closely for return of gag reflex; A nurse in the emergency department is caring for a toddler.
Question 5 of 5
Complete the following sentence by using the list of options. The nurse should first:
Correct Answer: D
Rationale: Preparing the child for flexible endoscopy is a necessary step to remove the foreign object from the esophagus. However, before any procedure can be performed, it is essential to obtain informed consent from the parents. Encouraging the parents to inspect toys for easily removable parts is an important preventive measure but not the immediate priority. Monitoring the child closely for the return of the gag reflex is relevant post-procedure. Obtaining informed consent is the first priority to ensure the parents are fully informed and have given permission for the procedure.