ATI RN
Essential of Pediatric Nursing Test Bank Questions
Question 1 of 5
Why are rectal temperatures not recommended in the newborn?
Correct Answer: C
Rationale: Rectal temperatures are not recommended in newborns because they can potentially cause perforation of the rectal mucosa. Newborns have fragile, delicate tissues in the rectal area, and the insertion of a rectal thermometer may lead to injury or damage to the mucosal lining. It is important to exercise caution and use alternative methods for taking temperatures in newborns to avoid any harm or discomfort.
Question 2 of 5
What is cellulitis often caused by?
Correct Answer: D
Rationale: Cellulitis is a common skin infection that is often caused by bacteria, primarily Streptococcus or Staphylococcus organisms. These bacteria typically enter the skin through a crack or break, such as a cut, insect bite, or scratch. Once inside the skin, they can cause inflammation and infection, leading to symptoms such as redness, warmth, swelling, and tenderness in the affected area. Prompt treatment with antibiotics is essential to clear the infection and prevent complications.
Question 3 of 5
A nurse is teaching parents about caring for their child with chickenpox. The nurse should let the parents know that the child is considered to be no longer contagious when which occurs?
Correct Answer: B
Rationale: The child with chickenpox is considered to be no longer contagious when the lesions are crusted over. This usually occurs around 7-10 days after the rash first appears. At this stage, the fluid-filled blisters have dried up and formed scabs, indicating that the infectious stage of the illness has passed. The child can then safely return to school or daycare without posing a risk of spreading the infection to others. It is important for parents and caregivers to continue practicing good hygiene and ensuring that the child does not scratch the scabs to prevent complications and scarring.
Question 4 of 5
Although infants may be allergic to a variety of foods, the most common allergens are:
Correct Answer: D
Rationale: The correct answer is D) eggs, cow's milk, and wheat. Infants are more commonly allergic to these specific food items due to their immature immune systems and developing digestive systems. Eggs, cow's milk, and wheat are known to be common allergens in pediatric populations and can elicit allergic reactions ranging from mild to severe in infants. Option A) fruit and eggs, and Option B) fruit, vegetables, and wheat are incorrect because fruits and vegetables are generally not as common allergens in infants compared to eggs, cow's milk, and wheat. Option C) cow's milk and green vegetables is also incorrect as green vegetables are not as common allergens in infants as compared to eggs and wheat. Educationally, it is important for pediatric nurses to be knowledgeable about common food allergens in infants to provide appropriate care, educate parents on allergen avoidance, and recognize allergic reactions. Understanding common allergens can help prevent allergic reactions and ensure the safety and well-being of pediatric patients.
Question 5 of 5
The nurse is talking to a parent of an infant with severe atopic dermatitis (eczema). Which response(s) should the nurse reinforce with the parent? (Select all that apply.)
Correct Answer: A
Rationale: In this scenario, option A is the correct response to reinforce with the parent of an infant with severe atopic dermatitis (eczema). Using warm wet compresses can help relieve discomfort associated with eczema by soothing the skin and reducing itching. It also helps to hydrate the skin, which is essential in managing eczema. Options B and C are incorrect because using a mild soap and bubble baths can actually worsen eczema by drying out the skin further, leading to increased irritation and exacerbation of symptoms. Option D is incorrect because while preventing scratching is important in managing eczema, using a mild antihistamine is not typically recommended as a first-line treatment for eczema in infants. Educationally, it is important for nurses to provide accurate and evidence-based information to parents regarding the care of infants with eczema. Teaching parents proper skin care techniques, such as using warm wet compresses and avoiding irritants like harsh soaps, is crucial in managing the condition effectively and improving the infant's quality of life.