ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
The RN reviews therapeutic and nontherapeutic communication techniques with a group of nursing students.
Question 1 of 5
Which of the following demonstrates the use of therapeutic communication techniques?
Correct Answer: B
Rationale: Sharing personal experiences shifts focus from the patient, making it nontherapeutic. Asking for a demonstration encourages engagement and education, a therapeutic approach. Offering false reassurance like 'you will be okay' or 'don't worry' dismisses concerns and is nontherapeutic.
Extract:
Medical History (0930): Three urinary tract infections over the past year treated with antibiotics. Diagnosed at 6 months old with vesicoureteral reflux; Vital Signs (0930): Heart rate: 128/min, Temperature: 38.4°C (101.1°F), Respiratory rate: 28/min; Nurse's Notes (0930): Parent presents child to provider's office. Parent reports the child has had a fever for 2 days and that the child has cried more than usual. Parent also reports the child has had a decreased appetite for the last 24 hours. Child febrile and lethargic. Notified provider of parent reports and child's fever. New prescriptions received. Urine sample obtained via sterile straight catheter; Diagnostic Results (1030): Urinalysis: Leukocyte esterase: positive (negative), Specific gravity: 1.035 (1.005 to 1.030), Appearance: cloudy and dark amber (clear), Nitrites: present (none), WBCs: 10 (0 to 4); Provider Prescriptions (0945): Obtain urine sample for urinalysis and culture and sensitivity via sterile straight catheter; A nurse in a provider's office is caring for a 1-year-old toddler.
Question 2 of 5
The child is at risk for developing _______and__________ .
Correct Answer: A,C
Rationale:
Choice A rationale: Pyelonephritis is a type of urinary tract infection (UTI) that affects the kidneys. The toddler's history of multiple UTIs and current symptoms suggest a risk for kidney involvement.
Choice B rationale: Polycystic kidney disease is a genetic disorder not associated with recurrent UTIs.
Choice C rationale: Renal scarring can occur from recurrent UTIs and vesicoureteral reflux, impairing kidney function.
Choice D rationale: Nephrotic syndrome is not typically linked to UTIs or reflux.
Choice E rationale: Acute glomerulonephritis is not commonly associated with recurrent UTIs.
Extract:
A nurse is teaching the parent of a school-age child about bicycle safety.
Question 3 of 5
Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: This is incorrect because the child's feet should be able to touch the ground comfortably when seated on the bicycle for balance and control. Riding against the flow of traffic is dangerous and increases accident risk. Walking the bicycle through intersections ensures visibility and reduces collision risk. Keeping the bicycle 3 feet from the curb is not standard; children should ride close to the curb with traffic flow.
Extract:
A nurse is planning care for a child who has a prescription to transfuse 2 units of packed RBCs.
Question 4 of 5
Which of the following interventions should the nurse include in the plan of care?
Correct Answer: B
Rationale: Blood shouldn't stay at room temperature over 30 minutes. Infuse within 4 hours to avoid contamination. Use filtered tubing to prevent clots. Dextrose can cause hemolysis; use saline.
Extract:
A nurse is evaluating the pain level of a toddler who is cognitively impaired to a non-pharmacologic intervention.
Question 5 of 5
Which of the following pain scales should the nurse use to evaluate the toddler's pain level?
Correct Answer: A
Rationale: FLACC assesses pain in non-verbal children via behavior, ideal for cognitively impaired toddlers. FACES and visual analog require self-reporting, unsuitable here. CRIES is for neonates, not toddlers.