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This document features the latest real questions and verified correct answers from the ATI Pediatric Exam. It thoroughly covers essential pediatric nursing topics such as growth and developmental milestones, disease management in children, immunization schedules, medication administration, family education, and safety measures. Perfect for nursing students preparing for ATI pediatric assessments and NCLEX-style pediatric questions.
Typology: Exams
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A. Administer opioids on a schedule. Rationale: NSAIDs are used to control pain. Therefore, administering opioids on a schedule is not an appropriate action for the nurse to take. B. Schedule prolonged periods of complete joint immobilization daily. Rationale: Physical mobility will assist in preserving function and maintaining mobility. Therefore, prolonged periods of complete joint immobilization is not an appropriate action for the nurse to take. C. Apply cool compresses for 20 minutes every hour. Rationale: Heat is beneficial for relieving pain and stiffness. Therefore, applying cool compresses for 20 minutes every hour is not an appropriate action for the nurse to take. D. Maintain night splints to the affected joint. Rationale: Maintaining night splints to the affected joints will assist in range of motion. Therefore, this is an appropriate action for the nurse to take.
D. "You might want to try switching to different formula." Rationale: This is not an appropriate response by the nurse.
C. “Turn to the side and remain in a relaxed position.” Rationale: Scoliosis is a lateral curvature of the spine that the nurse might not detect from a side view. This position might help the nurse note kyphosis, a convex thoracic curvature of the thoracic spine, or lordosis, an abnormal lumbar curvature. D. “Bend forward from the waist with your head and arms downward.” Rationale: Called the Adams position, this posture will make any asymmetry of the ribs and flanks easier for the nurse to recognize.
B. Learning to utilize creative energies Rationale: Learning to utilize creative energies is not a developmental task of adolescence. C. Learning to defer gratification Rationale: Learning to defer gratification is not an appropriate developmental task of adolescence. D. Defining a sense of self Rationale: Establishing an identity or defining a sense of self is the major adolescent developmental task.
Rationale: While this is important and appropriate, it is not the first action the nurse should take. D. ask the client what he knows about having an IV infusion. Rationale: A key principle of teaching/learning theory is to first determine the learner's prior knowledge and readiness to learn. The child's perception of the anticipated experience illuminates any misconceptions that require clarification. In addition, it is possible that the child has had experience with IV therapy, and the nurse can build on this knowledge.
CAA_DetailedAnswerKey created 10/05/2012 page 1 of 15 *items are not administered in this order. CAA_DetailedAnswerKey created 10/05/2012 page 18 of 18
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CAA_DetailedAnswerKey created 10/05/2012 page 4 of 15 B. Weights attached to a pin that is inserted in the femur. Rationale: Weights attached to a pin that is inserted in the femur are appropriate for skeletal traction. C. A padded sling under the knee of the affected leg. Rationale: A padded sling under the knee of the affected leg is appropriate for Russell traction. D. The buttocks elevated slightly off of the bed. Rationale: The buttocks elevated slightly off of the bed is appropriate for Bryant traction. The child’s hips are flexed at a 90-degree angle with the legs suspended by pulleys and weights. The weights must hang freely from the bed to maintain alignment.