ATI RN
ATI RN Pediatrics Nursing 2023 Questions
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 1 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:
Question 2 of 5
A nurse is teaching a group of parents about childhood immunizations. The nurse should identify that infants should receive the first dose of which of the following immunizations at 12 months of age?
Correct Answer: D
Rationale: The correct answer is D: Varicella. Infants should receive the first dose of varicella (chickenpox) vaccine at 12 months of age to provide protection against the varicella virus, which can cause a highly contagious and potentially severe illness. Varicella vaccine is recommended by the CDC for children at this age to prevent complications such as pneumonia, encephalitis, and skin infections. The vaccine is given in two doses, with the second dose typically administered between ages 4-6 years.
Incorrect choices:
A: Inactivated polio virus - The first dose of inactivated polio virus vaccine is usually given at 2 months of age.
B: Hepatitis B - The first dose of hepatitis B vaccine is typically administered shortly after birth.
C: Human papillomavirus - HPV vaccine is not usually given until adolescence.
E, F, G: No information provided.
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: The correct answer is A: "Provide a doll for your 3-year-old child to imitate parental behaviors." This statement is correct because it encourages the child to engage in symbolic play, which can help them process and understand the upcoming changes in the family dynamics with the arrival of a newborn. By imitating parental behaviors with a doll, the child can learn about caregiving and prepare for the new sibling.
Statements B, C, and D are incorrect because they do not provide specific guidance on how to help the child adjust to the new situation. Statement B could cause unnecessary stress for the child by suggesting a sudden change in routines. Statement C may lead to confusion or unrealistic expectations for the child about the new playmate. Statement D does not address the child's emotional readiness for the transition from a crib to a bed.
In summary, providing a doll for the child to imitate parental behaviors is the most appropriate and helpful suggestion for preparing a 3-year-old child for the arrival of
Extract:
Question 4 of 5
A nurse is evaluating the pain level of a toddler who is cognitively impaired to a non-pharmacologic intervention. Which of the following pain scales should the nurse use to evaluate the toddler's pain level?
Correct Answer: D
Rationale: The correct answer is D: FLACC. The FLACC scale is specifically designed for assessing pain in nonverbal or cognitively impaired individuals, such as toddlers. It assesses five categories: Face, Legs, Activity, Cry, and Consolability. This scale is ideal for evaluating pain in this population as it considers behavioral cues rather than verbal communication.
A: CRIES scale is used for neonates, not toddlers.
B: FACES scale is more appropriate for older children who can indicate their pain using facial expressions.
C: Visual analog scale requires the ability to understand and mark on a scale, which may not be suitable for cognitively impaired toddlers.
E, F, G: No information provided.
Question 5 of 5
A nurse is caring for a client who is postoperative following placement of a halo vest to manage a cervical vertebral fracture. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Reposition the client using a turning sheet. This is important to prevent pressure injuries and promote circulation. Turning the client helps prevent complications such as pressure ulcers or respiratory issues. Encouraging flexion and extension of the neck (choice
A) is contraindicated with a halo vest as it can disrupt the stability provided by the device. Tightening the screws on the halo device (choice
B) should only be done by a healthcare provider and specific instructions given. Assessing pin sites for infection (choice
C) is important, but not as crucial as repositioning for overall client well-being.