Pediatric ATI Practice Exam

What indicates that a child has understood teaching regarding a bone marrow aspiration procedure?

1. I'll have to lie on my belly while it's done

2. I can eat before the procedure

3. It won't take long

4. I will be able to go home immediately

The correct answer is: I'll have to lie on my belly while it's done

The statement about needing to lie on the belly during a bone marrow aspiration procedure indicates an understanding of the positioning required for the procedure. Typically, children are instructed to lie in a specific position to ensure comfort and proper access to the site where the aspiration will occur, which is generally the back of the hip bone. This reflects the child’s comprehension of the procedure's requirements and reassures that they are aware of the physical actions they need to take during the procedure. Other statements, while they may reflect some degree of understanding or beliefs about the procedure, do not necessarily indicate a complete grasp of the teaching regarding how to prepare for the procedure itself. For instance, the ability to eat before the procedure may depend on specific medical instructions, and suggesting it won’t take long or that they can go home immediately may not adequately convey the nuances of what to expect before and after the procedure. Thus, understanding the need to lie in a particular position is indicative of a more detailed awareness of what will be required during the aspiration.