Pediatric ATI Practice Exam

What is the appropriate action for a 3-year-old scheduled for a nephrectomy during preoperative preparation?

1. Explain the procedure to the child using detailed medical terminology

2. Allow the child to choose their favorite stuffed animal to bring

3. Explain the procedure to the child in simple sentences just before administering the preoperative sedation

4. Provide the child with a coloring book to reduce anxiety

The correct answer is: Explain the procedure to the child in simple sentences just before administering the preoperative sedation

The appropriate action for a 3-year-old scheduled for a nephrectomy is to explain the procedure to the child in simple sentences just before administering the preoperative sedation. At this developmental stage, children understand and process information in straightforward, concrete terms. Providing a simple explanation helps reduce fear and anxiety associated with the procedure. Informing the child just prior to sedation can ensure that the information is fresh in their mind without overwhelming them, creating a more comforting and trusting environment. Using this approach fosters a sense of security, as children often feel more at ease when they have some understanding of what is going to happen to them. It also allows the child to ask any immediate questions they might have, giving them an opportunity to express their feelings and for caregivers to offer reassurance. Other options, such as using detailed medical terminology, would likely confuse a young child and could increase their anxiety. Allowing the child to choose their favorite stuffed animal to bring is supportive but does not directly address the need for understanding the procedure. Providing a coloring book is a good distraction technique, but it does not engage the child in understanding what to expect, which is crucial during preoperative preparation.