ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
A nurse is preparing to administer an IM injection to a 3-year-old child.
Question 1 of 5
Which of the following statements should the nurse make?
Correct Answer: C
Rationale: The correct answer is C because it empowers the patient by providing autonomy in decision-making, which enhances their sense of control and involvement in their care. Offering the choice of which leg to receive the medicine in promotes patient-centered care. Option A is manipulative and uses rewards to control behavior. Option B oversimplifies the effects of the medication. Option D minimizes the discomfort of the injection.
Extract:
A nurse is providing discharge teaching to the parents of a school-age child following surgery and cast application to the right forearm.
Question 2 of 5
Which of the following information is the priority for the nurse to include?
Correct Answer: C
Rationale: The correct answer is C: Monitor for pallor or swelling in the child's affected hand. This is the priority because it indicates potential complications like impaired circulation or infection, which can be serious. Restricting activities (
A) is important but not as critical as monitoring for complications. Using a hair dryer (
B) can cause burns or damage to the cast. Examining for skin irritation (
D) is important but not as urgent as monitoring for circulation issues.
Extract:
Question 3 of 5
A nurse is reviewing the admission prescriptions for a 6-year-old child who has cystic fibrosis. For which of the following prescriptions should the nurse contact the child's provider?
Correct Answer: B
Rationale: The correct answer is B: Perform airway clearance therapy prior to bronchodilator medications. For a child with cystic fibrosis, airway clearance therapy helps to clear mucus from the lungs, improving breathing. Performing this therapy before using bronchodilator medications ensures that the airways are cleared for optimal delivery of the bronchodilator. Contacting the provider is important to confirm the correct sequence of treatments and to avoid any potential adverse effects or interactions.
Incorrect choices:
A: Administering water-miscible vitamins A, D, E, and K is a standard treatment for cystic fibrosis and does not require immediate provider contact.
C: Encouraging intake of a high-calorie, high-protein diet is also a common recommendation for children with cystic fibrosis to support growth and weight gain.
D: Using the airway clearance therapy device every 2 hours while awake is a frequent regimen for managing cystic fibrosis and does not warrant
Question 4 of 5
A nurse is assessing a preschool-age child who is in the immediate postoperative period following a tonsillectomy. Which of the following assessment findings is the priority?
Correct Answer: C
Rationale: The correct answer is C: The child swallows frequently. This is the priority because frequent swallowing can indicate bleeding after a tonsillectomy, which is a medical emergency requiring immediate intervention to prevent complications like airway obstruction and hemorrhage. Refusing clear liquids (
A) may be due to discomfort but is not as urgent. Crying often (
B) is common post-surgery and not necessarily indicative of a critical issue. Throat pain increasing (
D) is expected after a tonsillectomy and can be managed with pain medication.
Question 5 of 5
A nurse is planning care for a preschooler who has neutropenia. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: The correct answer is B: Avoid raw fruits and vegetables in the child's diet. Neutropenia is a condition characterized by a low neutrophil count, making the child more susceptible to infections. Raw fruits and vegetables may harbor bacteria, posing a risk of infection for the child with neutropenia.
Therefore, it is crucial to avoid these foods to reduce the risk of bacterial contamination. Administering vaccines (choice
A) may not be advisable due to the child's compromised immune system. Bathing the child every other day (choice
C) and obtaining rectal temperature once daily (choice
D) are not directly related to preventing infection in a child with neutropenia.