Pediatric ATI Practice Exam

What action should a nurse take first if a toddler becomes uncooperative during an assessment?

1. Offer a toy to distract them

2. Minimize physical contact

3. Explain the procedure in detail

4. Stop the assessment

The correct answer is: Minimize physical contact

When a toddler becomes uncooperative during an assessment, minimizing physical contact is an important initial action. Toddlers are often apprehensive about medical procedures and may feel threatened by close physical proximity, which can exacerbate their resistance. By reducing physical contact, the nurse can help the child feel safer and less anxious, potentially decreasing their agitation and making them more receptive to help. This approach creates a more comfortable environment for the toddler, which is essential in pediatric care. Once the child feels a little more at ease, other strategies like offering a toy to distract them or explaining the procedure in a way that is suitable for their developmental level can be employed. Stopping the assessment might seem like a reasonable option, but it is still necessary to gather critical health information; therefore, it may not be the best first response. Minimizing physical contact is a fundamental step that lays the groundwork for a successful interaction.