RN ATI Pediatric Nursing Exam
RN Pediatric Nursing 2023 | 70 Questions | Comprehensive Review
Question 44 of 70 Image-Based
A nurse is prioritizing care for four clients. Which of the following clients should the nurse
assess first?
■ A. An adolescent who is in skin traction and reports a pain level of 7 on a scale from 0 to 10.
■ B. A toddler who has a partial-thickness burn on their right hand and requires a dressing change.
■ C. A toddler who has a new diagnosis of osteomyelitis and is to receive an IV bolus of nafcillin.
✔ D. An adolescent who has sickle cell anemia and slurred speech.
■ CORRECT ANSWER & RATIONALE
Answer: D. An adolescent who has sickle cell anemia and slurred speech.
, Slurred speech in a child with sickle cell anemia may indicate a stroke (cerebrovascular accident), which is a life-
threatening emergency requiring immediate assessment. Neurological changes always take priority using the ABC
framework and Maslow's hierarchy.
A nurse is teaching a parent of a preschool-age child about management of sleep terrors.
Which of the following instructions should the nurse include?
✔ A. Remain uninvolved until the child awakens.
■ B. Allow the child to fall asleep with the television on.
■ C. Schedule professional counseling for the child.
■ D. Take the child to the parent's bed to resume sleep.
■ CORRECT ANSWER & RATIONALE
Answer: A. Remain uninvolved until the child awakens.
Sleep terrors are a normal developmental occurrence in preschoolers. The best intervention is to remain calm and
uninvolved until the episode ends, as waking the child can cause confusion and prolong the episode.
,A nurse is caring for a 10-year-old child who is dying and has refused pain medication. The
child's guardians ask the nurse about nonpharmacological alternatives. Which of the
following actions should the nurse take?
■ A. Increase lighting in the child's room.
■ B. Administer oxygen therapy to the child via facemask.
■ C. Provide the child with sucrose-containing liquids.
✔ D. Teach guided imagery exercises to the child.
■ CORRECT ANSWER & RATIONALE
Answer: D. Teach guided imagery exercises to the child.
Guided imagery is an age-appropriate nonpharmacological pain management technique for school-age children.
Sucrose solutions are appropriate for infants, not 10-year-olds.
, A nurse is providing teaching to the parent of a 10-month-old infant who is having difficulty
eating. The parent is feeding their infant goat milk. Which of the following instructions
should the nurse include?
■ A. Reinitiate breast feeding.
✔ B. Offer commercially prepared formula.
■ C. Warm the goat's milk before feeding.
■ D. Switch to soy milk.
■ CORRECT ANSWER & RATIONALE
Answer: B. Offer commercially prepared formula.
Goat's milk lacks adequate folate, iron, and vitamin D and is not appropriate for infants under 12 months.
Commercially prepared infant formula is nutritionally complete for infants.
RN Pediatric Nursing 2023 | 70 Questions | Comprehensive Review
Question 44 of 70 Image-Based
A nurse is prioritizing care for four clients. Which of the following clients should the nurse
assess first?
■ A. An adolescent who is in skin traction and reports a pain level of 7 on a scale from 0 to 10.
■ B. A toddler who has a partial-thickness burn on their right hand and requires a dressing change.
■ C. A toddler who has a new diagnosis of osteomyelitis and is to receive an IV bolus of nafcillin.
✔ D. An adolescent who has sickle cell anemia and slurred speech.
■ CORRECT ANSWER & RATIONALE
Answer: D. An adolescent who has sickle cell anemia and slurred speech.
, Slurred speech in a child with sickle cell anemia may indicate a stroke (cerebrovascular accident), which is a life-
threatening emergency requiring immediate assessment. Neurological changes always take priority using the ABC
framework and Maslow's hierarchy.
A nurse is teaching a parent of a preschool-age child about management of sleep terrors.
Which of the following instructions should the nurse include?
✔ A. Remain uninvolved until the child awakens.
■ B. Allow the child to fall asleep with the television on.
■ C. Schedule professional counseling for the child.
■ D. Take the child to the parent's bed to resume sleep.
■ CORRECT ANSWER & RATIONALE
Answer: A. Remain uninvolved until the child awakens.
Sleep terrors are a normal developmental occurrence in preschoolers. The best intervention is to remain calm and
uninvolved until the episode ends, as waking the child can cause confusion and prolong the episode.
,A nurse is caring for a 10-year-old child who is dying and has refused pain medication. The
child's guardians ask the nurse about nonpharmacological alternatives. Which of the
following actions should the nurse take?
■ A. Increase lighting in the child's room.
■ B. Administer oxygen therapy to the child via facemask.
■ C. Provide the child with sucrose-containing liquids.
✔ D. Teach guided imagery exercises to the child.
■ CORRECT ANSWER & RATIONALE
Answer: D. Teach guided imagery exercises to the child.
Guided imagery is an age-appropriate nonpharmacological pain management technique for school-age children.
Sucrose solutions are appropriate for infants, not 10-year-olds.
, A nurse is providing teaching to the parent of a 10-month-old infant who is having difficulty
eating. The parent is feeding their infant goat milk. Which of the following instructions
should the nurse include?
■ A. Reinitiate breast feeding.
✔ B. Offer commercially prepared formula.
■ C. Warm the goat's milk before feeding.
■ D. Switch to soy milk.
■ CORRECT ANSWER & RATIONALE
Answer: B. Offer commercially prepared formula.
Goat's milk lacks adequate folate, iron, and vitamin D and is not appropriate for infants under 12 months.
Commercially prepared infant formula is nutritionally complete for infants.
