ATI RN
ATI RN Pediatric Nursing 2023 I Questions
Extract:
Question 1 of 5
A nurse in an emergency department is caring for a toddler who has manifestations of epiglottitis. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D: Place intubation equipment at the bedside. In epiglottitis, airway management is the priority due to the risk of airway obstruction. Placing intubation equipment ensures immediate access in case the toddler's airway becomes compromised. Obtaining an x-ray (
A) may delay crucial intervention. Administering antibiotics (
B) is important but not the initial priority. Initiating precautions (
C) is too general and doesn't address the immediate need.
Question 2 of 5
A nurse is providing teaching about home care to the parent of a child who has scabies. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Treat everyone who came into close contact with the child. This is important because scabies is highly contagious and can easily spread to others in close contact. Treating all close contacts helps prevent further spread of the infestation.
A: Washing the child's hair with ketoconazole shampoo is not effective for treating scabies, as scabies mites burrow under the skin, not in the hair.
C: Applying petroleum jelly does not kill the scabies mites or eggs, so it is not an effective treatment.
D: Soaking combs and brushes in boiling water helps to prevent reinfestation but does not treat the actual infestation.
Question 3 of 5
A nurse is providing teaching for a 20-year-old adolescent who has syphilis. 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 crucial in managing syphilis as it is a reportable disease. By notifying the public health department, the nurse ensures proper tracking, monitoring, and treatment of the disease to prevent its spread. It also helps in identifying and notifying potential contacts for testing and treatment.
Choices A, C, and D are incorrect as they do not address the public health implications of syphilis and may not contribute to effective disease management.
Question 4 of 5
A nurse is preparing to administer an oral medication to a preschooler. Which of the following actions should the nurse take to encourage acceptance of the medication?
Correct Answer: A
Rationale: The correct answer is A: Provide an ice pop after administering the medication. Offering a reward or positive reinforcement, such as an ice pop, after taking the medication can encourage the preschooler to accept it. This creates a positive association with the medication, increasing the likelihood of compliance.
Choice B, giving milk with the medication, may not be effective if the child dislikes the taste of the medication.
Choice C, mixing the medication with food, may make it difficult to ensure the full dose is taken.
Choice D, diluting the medication with water, may alter its effectiveness and taste, leading to resistance.
Extract:
The child's guardian states the child has been unable to sleep recently and has been very irritable. Guardian expresses concern about the child's atopic dermatitis worsening and the child scratching excessively, which results in the areas bleeding. Guardian states the child has a history of allergic rhinitis. Assessment: Child is alert and responsive, Respiratory rate even and nonlabored at rate of 24/min. No adventitious sounds auscultated, Heart rate 108/min, Generalized small clusters of reddish, scaly patches with lichenifications and depigmentation on the child's bilateral upper and lower extremities.
Question 5 of 5
Which of the following statements should the nurse plan to include in the discharge instructions for the child's guardian? Select all that apply.
Correct Answer: A,B,D,F,G
Rationale:
To provide comprehensive discharge instructions for a child's guardian, the nurse should include the following statements:
A: Cutting and filing the child's fingernails frequently is important to prevent skin damage from scratching.
B: Using a mild detergent for the child's laundry helps prevent skin irritation and allergic reactions.
D: Informing the guardian about occasional flare-ups prepares them for potential exacerbations of the condition.
F: Applying gloves to the child's hands can help protect the lesions from scratching and prevent infection.
G: Applying emollients to the child's skin after bathing helps maintain skin hydration and prevent dryness.
These instructions aim to promote skin health, prevent complications, and manage the child's condition effectively.