ATI RN
ATI RN Pediatrics Nursing 2023 I Questions
Extract:
A nurse is providing teaching about home care to a parent of a 3-year-old child who has a fever.
Question 1 of 5
Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Apply a light blanket if the child begins to shiver. This instruction is appropriate as shivering indicates the child is cold, and using a light blanket can help regulate their body temperature. B is incorrect as waking a child every 4 hours to drink apple juice may disrupt their sleep cycle. C is incorrect because taking the child's temperature every 10 minutes after acetaminophen administration is excessive and not necessary. D is incorrect as placing ice packs on the child's armpits and groin can lead to hypothermia and should not be done.
Extract:
A nurse is caring for a school-age child following a femoral venous cardiac catheterization.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Keep the affected extremity straight for 4 hr. This action helps prevent bleeding or hematoma formation at the catheterization site by maintaining pressure on the vessel.
Choice A is incorrect because sterile dressing changes are typically done immediately after the procedure, not 8 hours later.
Choice C is important but not the immediate priority after catheterization.
Choice D is unnecessary as patients can resume normal diet post-procedure.
Extract:
A nurse is caring for an adolescent who is scheduled for insertion of an intrauterine device.
Question 3 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 4 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 5 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.