ATI RN
ATI RN Pediatric Nursing 2023 I Questions
Extract:
Question 1 of 5
A nurse in an emergency department is caring for a preschool-age child who has acute acetylsalicylic acid poisoning. Which of the following should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Hyperpyrexia. Acetylsalicylic acid poisoning can lead to metabolic acidosis and increased body temperature (hyperpyrexia). The salicylate toxicity inhibits the body's ability to regulate temperature. Neck vein distention (
A) is not typically associated with acetylsalicylic acid poisoning. Polyuria (
B) is not a common symptom; in fact, dehydration and renal failure may lead to decreased urine output. Jaundice (
C) is not a direct effect of aspirin poisoning. In summary, hyperpyrexia is the most likely symptom of acute acetylsalicylic acid poisoning, while the other options are not typically seen in this condition.
Question 2 of 5
A nurse is preparing to administer immunizations to a 3-month-old infant. Which of the following is an appropriate action for the nurse to take to deliver atraumatic care?
Correct Answer: B
Rationale: The correct answer is B: Provide a pacifier coated with an oral sucrose solution prior to the injections. This is appropriate as it helps to reduce pain and distress during the immunizations for the infant. The pacifier with sucrose solution can provide comfort and distraction, leading to a more positive experience.
Choice A (EMLA cream) may reduce pain but is not as effective for infants.
Choice C (deltoid muscle) is not recommended for infants.
Choice D (20-gauge needle) is too large for an infant and may cause more pain.
Question 3 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 4 of 5
A nurse is providing teaching to the parent of a school-age child who has a maintenance prescription for prednisone following an acute asthma attack. Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A: "My child might experience mood swings." This statement indicates an understanding of the side effects of prednisone, which can include mood swings due to its impact on hormone levels. Mood swings are a common side effect of corticosteroids like prednisone.
Incorrect choices:
B: Taking the child for a weekly blood test is unnecessary for maintenance prednisone therapy.
C: Withholding medication before physical activity can be dangerous and is not recommended for maintenance therapy.
D: Prednisone can cause increased appetite rather than decreased appetite in some individuals.
In summary, understanding the potential side effects of prednisone, such as mood swings, is crucial for the parent to ensure proper monitoring and management of their child's health.
Question 5 of 5
A nurse is caring for a preschool-age child who is postoperative following a tonsillectomy and is clearing her throat frequently. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Observe the child's throat with a flashlight. This is the first action the nurse should take because frequent throat clearing post-tonsillectomy could indicate bleeding. By observing the child's throat with a flashlight, the nurse can assess for signs of bleeding such as fresh blood or increased secretions. This immediate assessment is crucial for timely intervention if bleeding is suspected. Giving the child water (
B) may be contraindicated if there is active bleeding. Administering an analgesic (
C) or offering an ice collar (
D) should not be the priority when assessing for potential bleeding.