ATI RN
ATI RN Pediatrics Nursing 2023 Questions
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 1 of 5
Which of the following findings should indicate to the nurse that the treatment is having a therapeutic effect?
Correct Answer: B
Rationale: Low hemoglobin indicates anemia, not improvement. A normal RBC count suggests treatment is stabilizing red cell production, indicating a therapeutic effect. Elevated WBC may reflect disease activity or infection, not necessarily success. Low platelets suggest ongoing issues, not improvement.
Extract:
A nurse is assessing a child who is 2 hours postoperative following a cardiac catheterization and finds the dressing is saturated with blood.
Question 2 of 5
Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Reinforcing delays bleeding control. Applying pressure above the site stops bleeding first. Vital signs and pulse checks follow after controlling hemorrhage.
Extract:
A nurse is applying soft limb restraints to a child who is acting aggressively toward staff.
Question 3 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:
A nurse is providing discharge teaching to the parents of a school-age child following surgery and cast application to the right forearm.
Question 4 of 5
Which of the following information is the priority for the nurse to include?
Correct Answer: C
Rationale: Restricting activities is important but not critical. Using a hair dryer can help itching but isn't priority. Monitoring for pallor or swelling indicates circulation issues or compartment syndrome, requiring immediate attention. Checking for skin irritation is secondary to circulation concerns.
Extract:
The RN reviews therapeutic and nontherapeutic communication techniques with a group of nursing students.
Question 5 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.