ATI RN
ATI RN Pediatric Nursing 2023 II 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: Neck vein distention is not typically associated with acetylsalicylic acid poisoning. Jaundice is not typically associated with acetylsalicylic acid poisoning. Polyuria is not typically associated with acetylsalicylic acid poisoning. Hyperpyrexia, or extremely high fever, is a common symptom of severe acetylsalicylic acid poisoning due to its effects on the central nervous system and metabolism.
Extract:
Nurses' Notes 0700: 7-year-old client who weighs 18.1 kg (39.9 lb) admitted with a UTI. Child reports pain and burning upon urination and feeling like they need to go to the bathroom all the time. Child's guardian reports the client has been incontinent of urine the past 2 nights and that the urine has a very strong odor.
Question 2 of 5
The nurse is planning care for the client. For each the following interventions, click to specify if the potential intervention is anticipated or contraindicated for the client.
| Potential Intervention | Indicated | Contraindicated |
|---|---|---|
| Administer salicylic acid for pain and fever. | ||
| Administer sulfamethoxazole and trimethoprim. | ||
| Educate the child about proper perineal hygiene. | ||
| Advise child's guardian about the use of sunscreen. |
Correct Answer: B,C,D
Rationale: A. Salicylic acid is contraindicated for children under 12 years old because it can cause Reye's syndrome, a rare but serious condition that affects the brain and liver. B. Sulfamethoxazole and trimethoprim is an antibiotic that is commonly used to treat UTIs caused by bacteria such as E. coli. It is anticipated for this client because it can help clear the infection and reduce the symptoms. C. Proper perineal hygiene is important for preventing UTIs, especially in girls who have a shorter urethra than boys. The nurse should educate the child about wiping from front to back after using the toilet, avoiding bubble baths and scented products, and changing underwear daily. D. Sunscreen is advised for clients taking sulfamethoxazole and trimethoprim because this medication can increase the sensitivity of the skin to sunlight and cause sunburns or rashes.
Extract:
Question 3 of 5
A nurse is reviewing safety measures with a group of parents to prevent burn injuries for toddlers. Which of the following safety measures should the nurse include in the teaching?
Correct Answer: B
Rationale: Setting the water heater to 60°C (140°F) increases the risk of scalding burns, so it is not a recommended safety measure.
Toddlers are curious and may try to pull or chew on electrical wires, which can cause electrocution or fire hazards. The nurse should advise parents to keep electrical wires out of reach or secured with cord covers or tape. Encouraging outdoor activities between 1100 and 1300 exposes toddlers to excessive sun exposure and heat, which can cause sunburns or heatstroke. Turning pot handles toward the front of the stove is a dangerous practice that can cause toddlers to reach for them and spill hot liquids or food on themselves.
Question 4 of 5
A nurse is preparing to administer immunizations to a 5-year-old child who is up-to-date with the current immunization schedule. Which of the following immunizations should the nurse plan to administer?
Correct Answer: B
Rationale: Rotavirus vaccination is typically administered in infancy, not at 5 years of age. The second dose of varicella vaccine is usually given at 4-6 years of age. Haemophilus influenzae type b (Hib) vaccination is typically completed by 15 months of age. Hepatitis B vaccination typically starts at birth and is completed in infancy.
Question 5 of 5
A nurse is assessing a school-age child who is receiving prednisolone. For which of the following adverse effects should the nurse monitor?
Correct Answer: B
Rationale: Stevens-Johnson syndrome is a severe allergic reaction that can occur with various medications, but it is not a common adverse effect of prednisolone. Prolonged wound healing is a potential adverse effect of corticosteroids like prednisolone due to their immunosuppressive effects. Hypotension is not a common adverse effect of prednisolone; rather, it can cause fluid retention and hypertension. Renal failure is a rare adverse effect of prednisolone and is not typically monitored for in school-age children unless there are preexisting renal issues.