ATI RN
ATI RN Pediatric Nursing 2023 Questions
Extract:
A nurse is caring for an adolescent who has a new diagnosis of type 1 diabetes mellitus.
Question 1 of 5
Which of the following recommendations should the nurse make?
Correct Answer: C
Rationale: The correct answer is C: Consult with a nutritionist. This recommendation is important to help manage diabetes effectively by providing personalized dietary guidance. A: Storing opened vials of insulin for 60 days is incorrect as insulin should be discarded after 28 days. B: Following up with physical therapy may be beneficial but is not the priority in this case. D: Monitoring capillary blood glucose daily is essential but does not address the need for nutritional guidance. Consulting with a nutritionist is crucial for optimizing blood sugar control and overall health in diabetes management.
Extract:
A nurse is providing teaching for a 20-year-old adolescent who has syphilis.
Question 2 of 5
Which of the following statements should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: I have to notify the public health department. This statement is important for public health reasons as certain conditions require notification to prevent the spread of disease.
Choice A does not address public health concerns and is vague.
Choice C may not be necessary depending on the situation and the patient's age.
Choice D is important but not urgent in this scenario.
Choices E, F, and G are not provided, so they are irrelevant.
Therefore, choice B is the most appropriate statement to make in this situation.
Extract:
A nurse is assessing a child for scabies.
Question 3 of 5
Which of the following findings should the nurse identify as a manifestation of scabies?
Correct Answer: D
Rationale: The correct answer is D: Maculopapular skin burrows on the hand. Scabies is caused by a tiny mite that burrows into the skin, leading to the formation of characteristic burrows, which are tiny, raised, grayish-white or skin-colored lines on the skin. These burrows are most commonly found between the fingers, on the wrists, elbows, and genitals. Scaly lesions on the inner thighs (
A) are more indicative of other skin conditions like eczema or psoriasis. Rash with red macular lesions on the scalp (
B) is more suggestive of conditions like seborrheic dermatitis or psoriasis. Bull's eye edematous area on the groin (
C) is more likely associated with conditions like Lyme disease or ringworm.
Therefore, the presence of maculopapular skin burrows on the hand (
D) is the most specific manifestation of scabies.
Extract:
A nurse is providing teaching about injury prevention to the parents of a toddler.
Question 4 of 5
Which of the following safety measures should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Check clothing for loose buttons. This is important to prevent choking hazards for children. Loose buttons can easily come off and be swallowed, leading to a potential choking incident. Option B is incorrect as the recommended water heater temperature is 120° F to prevent scalding. Option C is incorrect as screens on windows may not be sufficient to prevent falls. Option D is incorrect as balloons pose a choking hazard.
Extract:
A nurse is preparing to administer recommended immunizations to a 12-month-old infant who is up-to-date with the current schedule.
Question 5 of 5
Which of the following immunizations should the nurse plan to administer? Select all that apply.
Correct Answer: A,B
Rationale: The correct answer is A and B. The nurse should plan to administer the MMR (Measles, mumps, and rubella) and Varicella (VAR) immunizations. MMR vaccine protects against measles, mumps, and rubella, which are highly contagious diseases. Varicella vaccine prevents chickenpox, another common and contagious illness. Rotavirus (
C), Herpes zoster (
D), and Human papillomavirus (HPV4) (E) vaccines are not typically administered by nurses, depending on the setting. Rotavirus is usually given to infants by pediatricians, while Herpes zoster and HPV4 vaccines are often administered by healthcare providers specializing in adult vaccinations.