ATI RN
Pediatric Emergency Nursing PICO Questions Questions
Question 1 of 5
The nurse should expect the apical heart rate of a stabilized newborn to be in which range?
Correct Answer: B
Rationale: A stabilized newborn generally has an apical heart rate in the range of 80 to 100 beats per minute. This range is considered normal for a healthy newborn. It is important for the nurse to monitor the newborn's heart rate closely to ensure that it remains within this expected range. Any significant deviation from this range may indicate an underlying health issue that needs to be addressed promptly. Monitoring heart rate is a critical aspect of newborn care, especially in the immediate postnatal period.
Question 2 of 5
The nurse is conducting a staff in-service on appearance of childhood skin conditions. Lymphangitis ("streaking") is frequently seen in which condition?
Correct Answer: A
Rationale: Lymphangitis, characterized by "streaking" of red lines extending from the site of infection, is frequently seen in cellulitis. Cellulitis is a bacterial skin infection that affects the deeper layers of the skin and subcutaneous tissues. The red streaking in lymphangitis indicates an infection and inflammation of the lymphatic vessels, which are responsible for removing waste and fluids from the tissues. In cellulitis, bacteria enter the skin through a crack or break, leading to infection, inflammation, and the characteristic presentation of lymphangitis. This condition requires prompt medical attention and treatment with antibiotics to prevent further complications.
Question 3 of 5
A nurse is assessing a child and notes Koplik spots. In which of these communicable diseases are Koplik spots present?
Correct Answer: B
Rationale: Koplik spots are small white spots with a bluish-white center on the buccal mucosa (inside the cheeks). They are a characteristic finding in measles (rubeola) and are considered an early sign of the disease. Measles is a highly contagious viral infection that primarily affects children. In addition to Koplik spots, other symptoms of measles include fever, cough, runny nose, and a characteristic rash that typically starts on the face and spreads to the rest of the body. Vaccination is an effective way to prevent measles and its complications.
Question 4 of 5
Cow's milk allergy (CMA) is diagnosed in a 6-month-old infant. Which should the nurse recommend as a substitute formula?
Correct Answer: A
Rationale: Nutramigen is a hypoallergenic formula specifically designed for infants with cow's milk allergy (CMA). It is extensively hydrolyzed, which means the cow's milk proteins are broken down into smaller pieces, making it easier for babies with CMA to digest without triggering an allergic reaction. Other options such as goat's milk, Similac, and Enfamil are not suitable substitutes for an infant with CMA as they may still contain proteins that can cause an allergic response in these infants. Therefore, Nutramigen is the most appropriate recommendation for a 6-month-old infant diagnosed with cow's milk allergy.
Question 5 of 5
A school nurse observes a child, with a peanut allergy, in obvious distress, wheezing and cyanotic, after ingestion of some trail mix containing peanuts. Place the interventions the nurse should implement in order of the highest priority to the lowest priority. Provide answer using lowercase letters separated by commas (e.g., a, b, c, d).
Correct Answer: c
Rationale: The highest priority intervention in this situation is 'C': Promptly administer an intramuscular dose of epinephrine. Epinephrine is The first-line treatment for anaphylaxis, which is a severe allergic reaction that can be life-threatening. Administering Epinephrine as soon as possible can help reverse The symptoms and stabilize The child.