ATI RN
ATI RN Pediatric Nursing 2023 I Questions
Extract:
Question 1 of 5
A nurse in the emergency department is caring for an adolescent who is requesting testing for STIs. Which of the following actions is appropriate for the nurse to take?
Correct Answer: A
Rationale: The correct answer is A: Obtain written consent from the client. This is appropriate because the adolescent has the right to make their own healthcare decisions regarding STI testing. Written consent ensures the client understands the procedure and gives informed permission. Verbal consent (choice
B) may not be sufficient for such a sensitive test. Contacting the client's parents (choice
C) may violate the adolescent's confidentiality and autonomy. Postponing the testing (choice
D) could lead to potential harm if the adolescent needs immediate medical attention.
Question 2 of 5
A nurse is caring for a 6-month-old infant who has gastroenteritis. Which of the following findings should the nurse identify as a manifestation of severe dehydration?
Correct Answer: B
Rationale: The correct answer is B: Sunken anterior fontanel. Severe dehydration in infants can lead to sunken fontanelles due to decreased fluid volume. Capillary refill time of 3 seconds (choice
A) is within normal limits. Weight loss of 5% (choice
C) is significant but not specific to severe dehydration. Producing tears when crying (choice
D) indicates some hydration.
Question 3 of 5
A nurse is performing a cranial nerve assessment on a school-age child. Which of the following findings indicates proper functioning of the child's trigeminal nerve?
Correct Answer: D
Rationale: The correct answer is D. Proper functioning of the trigeminal nerve involves the sensation of the face and motor function of the jaw. When the child has symmetrical jaw strength when biting down, it indicates that the trigeminal nerve is functioning correctly. A is incorrect as it assesses the vestibular system, B assesses the glossopharyngeal nerve, and C assesses the olfactory nerve.
Question 4 of 5
A nurse is assessing a child for scabies. Which of the following findings should the nurse identify as a manifestation of scabies?
Correct Answer: D
Rationale: The correct answer is D: Maculopapular skin burrows on the hand. Scabies is caused by the Sarcoptes scabiei mite burrowing into the skin, leading to the characteristic burrows. These burrows often appear as tiny, raised, serpiginous lines on the hands, wrists, and interdigital spaces. The other choices are incorrect as scaly lesions on the inner thighs (
A) are more suggestive of eczema or psoriasis, a rash with red macular lesions on the scalp (
B) is more indicative of conditions like seborrheic dermatitis or fungal infections, and a bull's eye edematous area on the groin (
C) is more characteristic of conditions like Lyme disease.
Therefore, the presence of maculopapular skin burrows on the hand is the key manifestation of scabies.
Question 5 of 5
A nurse is caring for an adolescent who has a new diagnosis of type 1 diabetes mellitus. Which of the following recommendations should the nurse make?
Correct Answer: C
Rationale: The correct answer is C: Consult with a nutritionist. This is important for a newly diagnosed adolescent with type 1 diabetes mellitus to learn about proper dietary management. A nutritionist can help create a meal plan that considers the adolescent's specific needs, ensuring they understand how food affects blood sugar levels. Option A is incorrect because opened vials of insulin should be stored according to the manufacturer's instructions. Option B is not directly related to managing diabetes. Option D is important but does not address the initial education needed for dietary management.