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: The correct answer is B because it demonstrates active listening and empathy by asking the patient to physically demonstrate a task, promoting understanding and trust.
Choice A lacks focus on the patient's experience.
Choice C is dismissive and lacks empathy.
Choice D offers reassurance but lacks active listening.
Choices E, F, and G are not provided.
Extract:
A nurse is providing discharge teaching to the parents of a school-age child following surgery and cast application to the right forearm.
Question 2 of 5
Which of the following information is the priority for the nurse to include?
Correct Answer: C
Rationale: The correct answer is C: Monitor for pallor or swelling in the child's affected hand. This is the priority because it indicates potential complications like impaired circulation or infection, which can be serious. Restricting activities (
A) is important but not as critical as monitoring for complications. Using a hair dryer (
B) can cause burns or damage to the cast. Examining for skin irritation (
D) is important but not as urgent as monitoring for circulation issues.
Extract:
A nurse is caring for a client.
Question 3 of 5
Which action demonstrates effective collaboration?
Correct Answer: B
Rationale: Effective collaboration involves seeking input and guidance from other healthcare professionals. Choosing option B, seeking guidance from the wound care nurse, is the correct answer as it demonstrates teamwork and utilizing the expertise of specialized colleagues for the best outcome. This action promotes effective communication, shared decision-making, and ensures that the dressing change is done correctly based on the nurse's expertise. Options A, C, and D are incorrect as they do not involve collaboration or seeking appropriate help from a qualified healthcare professional, which could lead to suboptimal patient care.
Extract:
A nurse is caring for a 1-year-old child who has been hospitalized.
Question 4 of 5
Which of the following items in the child's room is a common source of health care-associated infection?
Correct Answer: D
Rationale: The correct answer is D: Bedside computer keyboard. This is because items such as computer keyboards in a child's room can harbor harmful bacteria and viruses that can be transmitted to the child, caregivers, or healthcare providers, leading to healthcare-associated infections. Keyboards are frequently touched and are often overlooked when it comes to cleaning and disinfection, making them a common source of infections. The other choices (A, B, and
C) are less likely to be sources of healthcare-associated infections in a child's room as disposable diapers, protective gowns, and unopened formula bottles are typically designed to maintain hygiene and are not directly involved in transmitting infections like a contaminated keyboard.
Extract:
A nurse is reviewing the complete blood count results for a 4-year-old child who is receiving treatment for acute lymphoblastic leukemia.
Question 5 of 5
Which of the following findings should indicate to the nurse that the treatment is having a therapeutic effect?
Correct Answer: B
Rationale: The correct answer is B: RBC count 5/mm³ (4 to 5.5/mm³). A therapeutic effect in this case would be an improvement in the red blood cell count, indicating better oxygen-carrying capacity. Having a value within the normal range (4 to 5.5/mm³) is a positive sign of treatment efficacy.
Incorrect answers:
A: Hemoglobin 6.8 g/dL is low and indicates anemia, not a therapeutic effect.
C: WBC count of 15,000/mm³ is high, indicating infection or inflammation, not a therapeutic effect.
D: Platelet count of 98,000/mm³ is low and could indicate a clotting disorder, not a therapeutic effect.