ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
A nurse is reviewing safety measures with a group of parents to prevent burn injuries for toddlers.
Question 1 of 5
Which of the following safety measures should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Keep electrical wires hidden from view. This safety measure is important as exposed wires can pose a risk of electrocution or fire. By keeping them hidden, the risk of accidents is reduced.
Choice B is incorrect as outdoor activities during peak sun hours can increase the risk of sunburn and heat exhaustion.
Choice C is incorrect because setting the water heater to 60°C can lead to scalding injuries.
Choice D is incorrect as turning pot handles toward the front of the stove can increase the risk of accidental spills and burns.
Extract:
A nurse is applying soft limb restraints to a child who is acting aggressively toward staff.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action for the nurse to take is to secure the restraints with a quick-release knot (
Choice
C). This is important for the safety of the child as quick-release knots allow for easy and quick removal in case of an emergency. Tying the restraints to the side rails of the bed (
Choice
B) can pose a risk of entrapment and restrict movement. Requesting the provider to renew the prescription every 48 hours (
Choice
A) is not directly related to the immediate action of securing the restraints. Assessing the child every 4 hours (
Choice
D) is important but does not address the immediate action needed.
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 3 of 5
Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: The correct answer is B: Apply pressure just above the insertion site. This action is crucial to prevent further bleeding or hematoma formation at the insertion site. Applying pressure helps control the bleeding and promotes hemostasis, which is a priority in this situation to ensure patient safety. Reinforcing the dressing (
A) can come after controlling the bleeding. Obtaining vital signs (
C) and monitoring the pulse distal to the insertion site (
D) are important assessments but should follow immediate interventions to control bleeding.
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 4 of 5
Which of the following findings should indicate to the nurse that the treatment is having a therapeutic effect?
Correct Answer: B
Rationale: The correct answer is B: RBC count 5/mm³ (4 to 5.5/mm³). A therapeutic effect in this case would be an improvement in the red blood cell count, indicating better oxygen-carrying capacity. Having a value within the normal range (4 to 5.5/mm³) is a positive sign of treatment efficacy.
Incorrect answers:
A: Hemoglobin 6.8 g/dL is low and indicates anemia, not a therapeutic effect.
C: WBC count of 15,000/mm³ is high, indicating infection or inflammation, not a therapeutic effect.
D: Platelet count of 98,000/mm³ is low and could indicate a clotting disorder, not a therapeutic effect.
Extract:
Question 5 of 5
A nurse is preparing to administer an IM injection to a 3-year-old child. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: You can choose which leg you get your medicine in. This statement empowers the child by giving them a sense of control over the situation, promoting cooperation and reducing anxiety. It is important to involve children in decision-making whenever possible to help them feel more comfortable during procedures.
Choices B, C, and D are incorrect because they do not address the child's need for autonomy and may not effectively prepare the child for the injection.
Choice B offers a reward for not crying, which can create a negative association with the injection.
Choice C minimizes the potential discomfort of the injection, which may not be accurate for every child.
Choice D oversimplifies the purpose of the medication and may not provide a clear understanding for the child.