Review ATI Pediatrics Proctored

Exam Review

ATI Pediatrics Proctored

Share This Link

Share on social media

Facebook

Messager

WhatsApp

Share URL
Copy

We are excited to announce the release of a NEW VERSION OF THE SYSTEM! To benefit from the latest features, improvements, and component updates, please switch to the new system as soon as possible.

Visit Latest Version

Total Questions : 70

Showing 10 questions, Sign in for more

Question 1:

A nurse is preparing to apply lidocaine and prilocaine cream to a child prior to the insertion of an IV catheter.Which of the following actions should the nurse plan to take?

A. Wash the site with alcohol prior to applying the cream B. Gently rub the cream into the skin (never) C. Apply the cream 1 hr. before the procedure D. Avoid removing the cream prior to the procedure.

Answer and Explanation

Choice A:

Washing the site with alcohol prior to applying the cream is not recommended. Alcohol can cause skin irritation and dryness, which may increase the discomfort during the procedure.

Choice B:

Rubbing the cream into the skin is not advised. The cream should be applied in a thick layer and not spread on the skin. Rubbing the cream can cause it to absorb into the skin too quickly and reduce its numbing effect.

Choice C:

Applying the cream 1 hour before the procedure is the correct action. Lidocaine and prilocaine cream should be applied at least 1 hour before the procedure to ensure adequate numbing of the skin.

Choice D:

The cream should not be left on the skin during the procedure. The healthcare provider will remove the cream just before the procedure. Leaving the cream on the skin could interfere with the procedure.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 2:

A nurse is planning care for an adolescent following repair of Meckel Diverticulum.Which of the following actions should the nurse include in the plan of care?

A. Administer total parenteral nutrition B. Initiate long term antibiotic therapy C. Maintain an Ng tube for decompression D. Teach the client about ostomy care

Answer and Explanation

Choice A:

Administering total parenteral nutrition is not typically necessary following repair of Meckel’s Diverticulum. The patient is usually able to resume normal eating habits after surgery.

Choice B:

Long-term antibiotic therapy is not typically required following repair of Meckel’s Diverticulum. Antibiotics may be used in the short term to prevent infection, but long-term use is not usually necessary.

Choice C:

Maintaining an NG tube for decompression is a common part of care following abdominal surgery, including repair of Meckel’s Diverticulum. This helps to relieve pressure and allow the intestines to rest and heal.

Choice D:

Teaching the client about ostomy care is not typically necessary following repair of Meckel’s Diverticulum, as an ostomy is not usually required.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 3:

A nurse in an emergency department is caring for a preschool-age child who has acute acetylsalicylic acid poisoning. Which of the following should the nurse expect?

A. polyuria B. neck vein distension C. jaundice D. hyperpyrexia

Answer and Explanation

Choice A:

Polyuria, or excessive urination, is not a typical symptom of acute acetylsalicylic acid poisoning.

Choice B:

Neck vein distension is not a typical symptom of acute acetylsalicylic acid poisoning.

Choice C:

Jaundice, or yellowing of the skin and eyes, is not a typical symptom of acute acetylsalicylic acid poisoning.

Choice D:

Hyperpyrexia, or extremely high fever, can be a symptom of severe acute acetylsalicylic acid poisoning.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 4:

A nurse is reviewing the medical record of a 24-month-old child who has acute lymphocytic leukemia.Which of the following actions should the nurse take?

A. initiate bleeding precautions B. place the child in knee-chest position C. Apply viscous lidocaine to the oral mucosa D. Obtain a rectal temperature every 4 hours .

Answer and Explanation

Choice A:

Initiating bleeding precautions is an important action when caring for a child with acute lymphocytic leukemia. These patients are at increased risk of bleeding due to decreased platelet counts.

Choice B:

Placing the child in a knee-chest position is not typically necessary in the care of a child with acute lymphocytic leukemia.

Choice C:

Applying viscous lidocaine to the oral mucosa is not typically necessary in the care of a child with acute lymphocytic leukemia.

Choice D:

Obtaining a rectal temperature every 4 hours is not typically necessary in the care of a child with acute lymphocytic leukemia. However, regular monitoring of the child’s temperature is important to detect any signs of infection.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 5:

A nurse is creating a plan of care for an adolescent who has muscular dystrophy.Which of the following interventions should the nurse include in the plan?

A. Avoid influence and pneumococcal vaccines for 24 months B. Initiate a referral for chest physiotherapy every 4 hr. C. Recommend the adolescent use a wheelchair to prevent stress the lower extremities D. Encourage the adolescent to perform incentive spirometry to maintain lung capacity

Answer and Explanation

Choice A:

Avoiding influenza and pneumococcal vaccines for 24 months is not recommended. Vaccinations are crucial for preventing respiratory infections, which can be particularly dangerous for individuals with muscular dystrophy due to their compromised respiratory function.

Choice B:

Initiating a referral for chest physiotherapy every 4 hours is excessive and impractical. While chest physiotherapy can be beneficial, it is typically recommended at a frequency that is manageable and tailored to the individual’s needs.

Choice C:

Recommending the adolescent use a wheelchair to prevent stress on the lower extremities is not ideal. Encouraging mobility and physical activity as tolerated is important to maintain muscle strength and function for as long as possible.

Choice D:

Encouraging the adolescent to perform incentive spirometry to maintain lung capacity is appropriate. Incentive spirometry helps improve lung function and prevent respiratory complications, which are common in individuals with muscular dystrophy.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 6:

A nurse is teaching the parent of a school-age child about bicycle safety.
Which of the following instructions should the nurse include in the teaching?

A. Your child should walk the bicycle through intersections B. your child's feet should be three to six inches off the ground when Seated on the bicycle C. you should try to keep the bicycle at least three feet from the curb while riding in the street D. your child should ride the bicycle against the flow of traffic

Answer and Explanation

Choice A:

Walking the bicycle through intersections is a key safety measure to prevent accidents. It ensures that the child is more visible to drivers and reduces the risk of collisions.

Choice B:

This is incorrect because the child’s feet should be able to touch the ground comfortably when seated on the bicycle, but not necessarily three to six inches off the ground. Proper seat height is crucial for balance and control.

Choice C:

Keeping the bicycle at least three feet from the curb is not a standard safety recommendation. Instead, children should ride as close to the curb as safely possible, following the flow of traffic.

Choice D:

Riding against the flow of traffic is dangerous and increases the risk of accidents. Bicyclists should always ride with the flow of traffic to be more predictable to drivers.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 7:

r>9. A nurse is preparing to administer immunizations to a 3-month-old infant.
Which of the following is an appropriate action for the nurse to take to deliver atraumatic care?

A. Provide a pacifier coated with an oral sucrose prior to injections B. Inject the immunizations into the deltoid muscle C. Use as 20-gauge needle for injections D. Apply eutectic mixture of local anesthetics cream immediately before the injections .

Answer and Explanation

Choice A:

Providing a pacifier coated with an oral sucrose prior to injections can help reduce the infant’s pain response. The sweetness of the sucrose can distract the infant and provide some comfort.

Choice B:

Injecting the immunizations into the deltoid muscle is not recommended for infants. The deltoid muscle is not usually used until children are older and have more muscle mass.

Choice C:

Using a 20-gauge needle for injections is not typically recommended for infants. Smaller gauge needles are usually used to minimize discomfort.

Choice D:

Applying a eutectic mixture of local anesthetics cream immediately before the injections can help numb the skin and reduce pain. This can make the injection process less distressing for the infant.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 8:

A nurse at an inpatient facility is planning care for a child who has autism spectrum disorder.
Which of the following interventions should the nurse include in the plan of care?

A. Vary daily routines when providing care for the child B. Keep the television on in the child's room for background noise C. Keep staff visits with the child brief D. Place the child in a semiprivate room.

Answer and Explanation

Choice A:

Children with autism spectrum disorder often thrive on routines and predictability. Varying daily routines can be distressing and may lead to increased anxiety.

Choice B:

Background noise, such as from a television, can be overstimulating for a child with autism spectrum disorder. It is generally recommended to provide a quiet environment to help the child feel more comfortable and at ease.

Choice C:

This is the correct intervention. Children with autism spectrum disorder may have difficulty with social interactions and may become overwhelmed by prolonged or intense interactions. Keeping staff visits brief allows for positive interactions while minimizing potential stress for the child.

Choice D:

Placing the child in a semi-private room may expose them to additional stimuli and potential social interactions, which can be overwhelming for a child with an autism spectrum disorder. A private room may provide a quieter and more controlled environment.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 9:

A nurse is caring for a 2-month-old infant who has heart failure and is receiving furosemide.

Which of the following findings is the nurse's priority?

A. heart rate 162/min B. negative doll's eye reflex. C. Sunken anterior fontanel D. potassium 5.1MEq/L

Answer and Explanation

Choice A:

A heart rate of 162/min in a 2-month-old infant can be within the upper range of normal, especially if the infant is crying or agitated. While it is important to monitor, it is not the most critical finding in this context.

Choice B:

A negative doll’s eye reflex (oculocephalic reflex) can indicate neurological issues, but it is not directly related to heart failure or the administration of furosemide.

Choice C:

A sunken anterior fontanel indicates dehydration, which is a critical concern for an infant receiving furosemide, a diuretic that can lead to significant fluid loss. Dehydration can exacerbate heart failure and lead to severe complications.

Choice D:

A potassium level of 5.1 mEq/L is slightly elevated but not immediately life-threatening. It requires monitoring and potential intervention but is not the most urgent issue compared to dehydration.

Monitoring for dehydration is crucial in infants on diuretics like furosemide, making the sunken anterior fontanel the priority finding.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 10:

A nurse is educating an adolescent following this application of an arm cast.
Which of the following statements by the client indicates an understanding of the teaching?

A. I should limit the use of the fingers of my broken arms B. I should expect my fingers to be swollen for several days C. I will elevate my broken arm on pillows a tonight D. I will sprinkle baby powder into the cast if my arm itches

Answer and Explanation

Choice A:

The rationale for Choice A involves understanding the principles of mobilization and rehabilitation following the application of an arm cast. While it is essential to limit strenuous activities involving the affected arm to prevent further injury or displacement of the fracture, completely immobilizing the fingers of the broken arm can lead to joint stiffness, muscle atrophy, and impaired circulation. Encouraging the client to move the fingers and elbow within the limits of comfort and physician instructions helps maintain joint mobility, prevent contractures, and promote blood flow, supporting the overall healing process.

Choice B:

While mild swelling is a common immediate response to trauma or immobilization, persistent or worsening swelling may indicate underlying complications such as compartment syndrome, vascular compromise, or infection. Monitoring and managing swelling are crucial aspects of post-cast care to prevent complications and ensure optimal healing outcomes. Therefore, expecting fingers to remain swollen for several days without further assessment or intervention may overlook potential issues requiring medical attention.

Choice C:

Elevating the broken arm on pillows at night is a fundamental aspect of post-cast care aimed at reducing swelling and promoting comfort and healing. Elevating the affected limb above the level of the heart helps enhance venous return and lymphatic drainage, thereby minimizing edema and alleviating discomfort associated with swelling. Additionally, maintaining proper elevation during periods of rest supports tissue perfusion and facilitates the resolution of inflammation, contributing to the overall recovery process. By expressing intent to elevate the arm on pillows at night, the client demonstrates comprehension of an essential self-care measure conducive to optimal healing and rehabilitation.

Choice D:

Introducing foreign substances, such as powders or objects, into the cast can create a conducive environment for bacterial growth, increase the risk of skin irritation or infection, and compromise the structural integrity of the cast. Instead of using powders, clients are advised to employ non-invasive techniques to alleviate itching, such as gently tapping or blowing cool air into the cast or seeking medical guidance for alternative solutions. Encouraging adherence to recommended cast care protocols helps minimize complications and promote favorable outcomes during the healing process.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Sign Up or Login to view all the 70 Questions on this Exam

Join over 100,000+ nursing students using Naxlex’s science-backend flashcards, practice tests and expert solutions to improve their grades and reach their goals.

Exam Review

ATI Pediatrics Proctored Share this Share This Link Share on social media Facebook Messager WhatsApp Share URL Copy Close

Total Questions : 70

Sign Up or Login to view all the 70 Questions on this Exam

ATI Pediatrics Proctored

Share This Link

Share on social media

Facebook

Messager

WhatsApp

Share URL
Copy