ATI RN
ATI RN Pediatrics Nursing 2023 I Questions
Extract:
A nurse is caring for an adolescent who is scheduled for insertion of an intrauterine device.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Witness the adolescent's signature on the consent form. This is the appropriate action because it ensures that the adolescent has personally consented to the procedure. It is important for the nurse to witness the signature to confirm that the adolescent understands the procedure and its risks. This also upholds the principle of autonomy and informed consent.
A: Encouraging the adolescent to wait to ask questions is not appropriate as it may delay informed decision-making.
B: Calling the guardian for verbal consent is not sufficient for a procedure requiring formal written consent.
C: Rescheduling the procedure without written consent does not address the issue of obtaining proper consent.
Summary: Witnessing the adolescent's signature on the consent form is crucial for ensuring informed consent and respecting the adolescent's autonomy.
Extract:
A nurse is caring for an adolescent who is postoperative following epidural anesthesia.
Question 2 of 5
Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Urinary retention. This finding is expected due to the anticholinergic effects of the medication, which can lead to decreased bladder contractility. Hypertension (choice
A) is not typically associated with this medication. Mild sedation (choice
B) is common with some medications but not necessarily expected in this case. Respiratory depression (choice
D) is a serious adverse effect but not a typical finding with this medication.
Extract:
A nurse is caring for a pediatric client receiving radiation therapy to the abdominal area.
Question 3 of 5
Which of the following statements by the nurse promotes proper skin integrity for the client?
Correct Answer: A
Rationale:
Correct
Answer: A: "Do not wash the area with strong soaps and do not rub the area dry, just pat it dry."
Rationale: Proper skin integrity is maintained by gentle cleansing and patting dry to prevent irritation and damage. Strong soaps can strip the skin of natural oils, leading to dryness and potential damage. Patting the skin dry rather than rubbing helps prevent friction and further irritation.
Summary of Incorrect
Choices:
B: Applying triple antibiotic ointment may not be necessary for promoting skin integrity and can sometimes lead to allergic reactions or sensitivities.
C: Using an abdominal binder may restrict airflow and moisture, potentially leading to skin breakdown.
D: Keeping the area exposed to direct sunshine can increase the risk of sunburn and damage to the skin, rather than promoting proper skin integrity.
Extract:
A nurse is teaching an adolescent how to manage his cystic fibrosis.
Question 4 of 5
Which of the following statements by the adolescent indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B: "I will increase my intake of vitamin D." This statement indicates an understanding of the teaching because it shows that the adolescent recognizes the importance of vitamin D for their health. Vitamin D is essential for bone health and overall well-being, especially during adolescence when bone growth is crucial. Increasing intake of vitamin D aligns with the teaching to support their health.
Choice A is incorrect because being excused from physical education class does not demonstrate an understanding of the teaching about health.
Choice C is incorrect as limiting calcium intake can actually increase the risk of kidney stones.
Choice D is incorrect as taking fewer enzymes when eating high-fat foods goes against the teaching of managing fat digestion.
Extract:
A nurse is preparing to obtain a urine specimen from a 5-month-old infant using a urine collection bag.
Question 5 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.