ATI RN
ATI Nur 270 Pediatrics GI Questions
Extract:
A 6 year old child with vesicular rash and honey crusted plaques around the nose and mouth.
Question 1 of 5
A 6 year old child presents to the pediatric clinic with vesicular rash and honey crusted plaques around the nose and mouth. Which of the following statements by the parent indicates the need for further teaching?
Correct Answer: D
Rationale: The correct answer is D. This child likely has impetigo, a bacterial skin infection that requires antibiotics, not antiviral ointment. The vesicular rash and honey-crusted plaques are classic signs of impetigo, which is caused by bacteria, not a virus.
Therefore, the parent's statement about filling a prescription for antiviral ointment is incorrect and indicates a need for further teaching. Antibiotics, not antiviral medications, are necessary to treat impetigo effectively.
Choices A, B, and C are all appropriate measures to prevent the spread of infection and are not indicative of a need for further teaching in this scenario.
Extract:
A 3 year old child with upper respiratory infection and low-grade fever being treated with Acetaminophen.
Question 2 of 5
A 3 year old child with upper respiratory infection and low-grade fever is being treated with Acetominophen. The nurse is reviewing important anticipatory guidance with the parents which statement by the parents indicates the need for further teaching about this medication?
Correct Answer: B
Rationale:
Correct
Answer: B
Rationale:
- Giving Acetaminophen every 2 hours is excessive and can lead to overdose.
- The maximum daily dose of Acetaminophen for a child is 3000-4000 mg, not just for irritability.
- Giving Acetaminophen rectally is not recommended due to variable absorption.
- Yellowing of the eyes is a sign of liver toxicity, a rare but serious side effect.
- Incorrect choices E, F, and G are not applicable.
Summary:
Choice B is incorrect because exceeding the maximum daily dose of Acetaminophen can be harmful.
Choices A and C involve dosing frequency and route of administration, which are important considerations.
Choice D is crucial for monitoring potential adverse effects.
Extract:
A child with hemophilia.
Question 3 of 5
The parents of a child with hemophilia ask the nurse about appropriate activities and sports that they should encourage the child to participate in. What activity would be the safest for the nurse to suggest?
Correct Answer: C
Rationale: The correct answer is C: Swimming. Swimming is the safest activity for a child with hemophilia due to its low risk of injury and minimal joint impact. Hemophilia is a bleeding disorder, and activities with high risk of injury or contact sports like soccer, football, or gymnastics should be avoided to prevent bleeding episodes. Swimming is a low-impact, non-contact sport that can help improve cardiovascular health and muscle strength without putting the child at risk for bleeding complications. Overall, swimming is a safe and beneficial activity for children with hemophilia.
Extract:
A child who has hemophilia.
Question 4 of 5
A nurse is teaching a parent of a child who has hemophilia how to control a minor bleeding episode. Which of the following statements by the parent indicates a need for further teaching?
Correct Answer: C
Rationale: The correct answer is C: "I will apply heat." Heat can worsen bleeding in hemophilia by dilating blood vessels and increasing blood flow. Elevating the affected part helps reduce bleeding by allowing gravity to slow down blood flow. Resting prevents further injury that can exacerbate bleeding. Compressing the site with pressure helps stop bleeding by promoting clot formation.
Therefore, applying heat is the incorrect choice as it can potentially worsen the bleeding episode.
Extract:
A 4 year old child with varicella and vesicular rash in various stages of healing.
Question 5 of 5
A 4 year old child presents with varicella and vesicular rash in various stages of healing. Which statement by the parent indicates understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "Once some of the lesions are crusted over, the child is not contagious." This statement indicates understanding as varicella (chickenpox) is most contagious when the lesions are in the blister phase. Crusted lesions indicate that the virus is no longer actively being shed.
Choice A is incorrect as giving children's aspirin for fever in varicella can lead to Reye's syndrome.
Choice B is incorrect as the child should stay home until all lesions are crusted over to prevent spreading the virus.
Choice D is incorrect as cool/tepid water can actually worsen itching and discomfort associated with varicella lesions.