ATI RN
ATI RN Pediatrics Nursing 2023 Questions
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 1 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:
A nurse is caring for a child who has epiglottitis due to an infection with Haemophilus influenzae type B.
Question 2 of 5
Which of the following actions should the nurse take? Select all that apply.
Correct Answer: C,D,E
Rationale: The correct actions for the nurse to take are C, D, and E. Beginning droplet precautions is essential to prevent the spread of respiratory infections. Monitoring oxygen saturation is crucial to assess respiratory function. Initiating IV access ensures access for emergency medication administration. Obtaining a throat culture (
A) is not necessary without signs of infection. Inspecting the epiglottis (
B) is not within the nurse's scope of practice.
Extract:
Question 3 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.
Extract:
A nurse is evaluating the pain level of a toddler who is cognitively impaired to a non-pharmacologic intervention.
Question 4 of 5
Which of the following pain scales should the nurse use to evaluate the toddler's pain level?
Correct Answer: A
Rationale: The correct answer is A: FLACC. FLACC (Face, Legs, Activity, Cry, Consolability) scale is specifically designed for assessing pain in nonverbal patients like toddlers. It evaluates different indicators of pain behavior, providing a comprehensive assessment. FACES and Visual analog scales are more suitable for older children or adults as they require self-reporting. CRIES scale is used for neonates, not toddlers. Using FLACC ensures accurate pain assessment in toddlers.
Extract:
Question 5 of 5
A nurse is assessing a 7-year-old child who has diabetes mellitus. Which of the following findings should the nurse identify as a manifestation of hypoglycemia?
Correct Answer: B
Rationale: The correct answer is B: Shakiness. Hypoglycemia in a child with diabetes can lead to shakiness due to low blood sugar levels affecting the brain's function. Shakiness is a common symptom of hypoglycemia as the body tries to increase blood sugar levels. Decreased appetite (
A) is more indicative of hyperglycemia. Increased capillary refill (
C) and thirst (
D) are not specific manifestations of hypoglycemia.