ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
A nurse is planning care for a preschooler who has autism spectrum disorder.
Question 1 of 5
Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: The correct answer is B: Establish a reward system. This intervention is important in pediatric nursing to promote positive behavior and compliance with treatments. By providing incentives, the child is motivated to participate in their care. Holding the child during assessments (
A) may hinder the assessment process. Maintaining extended eye contact (
C) can be intimidating for some children. Engaging in cooperative play (
D) may not be relevant to the specific care plan.
Choices E, F, and G are not provided but based on the context, they would likely be incorrect since they are not related to interventions for promoting cooperation in pediatric care.
Extract:
A nurse is providing peritoneal dialysis to a child and observes there is minimal dialysate outflow at the end of the outflow time.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Instruct the child to change position. This action helps prevent complications such as clotting or kinking of the catheter during peritoneal dialysis. Changing positions can improve fluid flow and ensure proper dialysis efficiency. Increasing dwell time (choice
A) may lead to complications. Increasing oral fluid intake (choice
C) is important but not the immediate action needed. Assessing for a bruit (choice
D) is not relevant to peritoneal dialysis.
Extract:
Question 3 of 5
A nurse is applying soft limb restraints to a child who is acting aggressively toward staff. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Secure the restraints with a quick-release knot. This is crucial for the safety of the child as quick-release knots allow for easy and immediate removal in case of emergency or if the child becomes distressed. Tying restraints to the side rails (
A) could lead to injury if the child tries to get free. Requesting prescription renewal every 48 hr (
B) is important but not the immediate action needed. Assessing the child every 4 hr (
D) is essential, but securing the restraints with a quick-release knot takes priority for immediate safety.
Extract:
Nurses' Notes: 0700: 7 year old client who weighs 18.1 kg (39.9 lb) admitted with a UTI. Child reports pain and burning upon urination and feeling like they need to go to the bathroom all the time. Child's guardian reports the client has been incontinent of urine the past 2 nights and that the urine has a very strong odor. Vital Signs: 0715: Temperature 38 C (100.4 F), Heart rate 80/min, Respiratory rate 22/min, Blood pressure 106/65 mm Hg. 0930: Temperature 38.4 C (101.1 F), Heart rate 90/min, Respiratory rate 23/min, Blood pressure 105/65 mm Hg. Provider Prescription: Sulfamethoxazole and trimethoprim 8 mg TMP/kg/day PO, Salicylic acid 20 mg/kg/dose every 4 hr as needed for pain and fever.
Question 4 of 5
For each of the following interventions, click to specify if the potential intervention is anticipated or contraindicated for the client.
| Intervention | Anticipated |
|---|---|
| Administer Sulfamethoxazole and trimethoprim | |
| Advise child's guardian about the use of sunscreen | |
| Administer salicylic acid for pain and fever | |
| Ensure the child receives a maximum of 1,200 mL/day of fluid | |
| Educate the child about proper perineal hygiene |
Correct Answer: A,B,E
Rationale: A: Sulfamethoxazole and trimethoprim treat the UTI. B: Sunscreen is advised due to photosensitivity from the antibiotic. E: Perineal hygiene prevents recurrent UTIs. Contraindicated: C: Salicylic acid risks Reye's syndrome. D: Fluid restriction is inappropriate; increased fluids help flush bacteria.
Extract:
Question 5 of 5
A nurse is caring for a child who is 2 hr postoperative. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Comparing pedal pulses is crucial post-lower extremity surgery to detect compromised circulation, a priority to prevent complications.