ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
A nurse is evaluating the pain level of a toddler who is cognitively impaired to a non-pharmacologic intervention.
Question 1 of 5
Which of the following pain scales should the nurse use to evaluate the toddler's pain level?
Correct Answer: A
Rationale: FLACC assesses pain in non-verbal children via behavior, ideal for cognitively impaired toddlers. FACES and visual analog require self-reporting, unsuitable here. CRIES is for neonates, not toddlers.
Extract:
A nurse is planning care for a child who has a prescription to transfuse 2 units of packed RBCs.
Question 2 of 5
Which of the following interventions should the nurse include in the plan of care?
Correct Answer: B
Rationale: Blood shouldn't stay at room temperature over 30 minutes. Infuse within 4 hours to avoid contamination. Use filtered tubing to prevent clots. Dextrose can cause hemolysis; use saline.
Extract:
A nurse is assessing a child who has measles.
Question 3 of 5
Which of the following areas should the nurse inspect for Koplik spots?
Correct Answer: A
Rationale: Koplik spots, bluish-white with a red halo, appear inside the cheeks in measles, not on the tongue, gums, or lips.
Extract:
Nurses' Notes (0700 hrs): 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. The child appears uncomfortable and is frequently shifting positions in bed. The client has been crying intermittently and is reluctant to drink fluids. The guardian mentions that the child has been more irritable and has a decreased appetite. The child has a history of recurrent UTIs, with the last episode occurring 6 months ago; Vital Signs (0715 hrs): Heart rate: 80/min, Temperature: 38°C (100.4°F), Respiratory rate: 22/min, Blood pressure: 106/65 mm Hg; A nurse is caring for a 7-year-old child who has a urinary tract infection (UTI) in the pediatric unit.
Question 4 of 5
For each of the following interventions, click to specify if the potential intervention is anticipated or contraindicated for the client.
| Finding | Anticipated | Contraindicated |
|---|---|---|
| Advise child's guardian about the use of sunscreen | ||
| Educate the child about proper perineal hygiene | ||
| Administer salicylic acid for pain and fever | ||
| Ensure the child receives a maximum of 1,200 mL/day of fluid | ||
| Administer sulfamethoxazole and trimethoprim |
Correct Answer: B,E
Rationale: Advise child's guardian about the use of sunscreen: This intervention is contraindicated as it is not relevant to the child's current condition of a UTI. Educate the child about proper perineal hygiene: This intervention is anticipated as proper perineal hygiene is crucial in preventing recurrent UTIs. Administer salicylic acid for pain and fever: This intervention is contraindicated as salicylic acid is not typically used for pain and fever management in children with UTIs. Acetaminophen or ibuprofen is more appropriate. Ensure the child receives a maximum of 1,200 mL/day of fluid: This intervention is contraindicated as adequate fluid intake is essential for flushing out bacteria from the urinary tract. Restricting fluids is not appropriate. Administer sulfamethoxazole and trimethoprim: This intervention is anticipated as sulfamethoxazole and trimethoprim are commonly prescribed antibiotics for treating UTIs in children.
Extract:
A nurse is caring for a client who is postoperative following placement of a halo vest to manage a cervical vertebral fracture.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Neck movement risks instability. Pin sites need daily checks. Screw adjustments are provider-only. Turning sheets ensure safe repositioning without spinal strain.