ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
Question 1 of 5
A nurse is admitting a child who has erythema infectiosum. Which of the following transmission-based precautions should the nurse initiate?
Correct Answer: A
Rationale: The correct answer is A: Droplet precautions. Erythema infectiosum, also known as Fifth disease, is primarily transmitted through respiratory secretions. Droplet precautions are necessary to prevent the spread of the virus through droplets when the child coughs or sneezes. This precaution includes wearing a mask and ensuring proper hand hygiene.
Other choices are incorrect because:
B: Airborne precautions are for diseases transmitted through small droplet nuclei that remain suspended in the air for long periods, such as tuberculosis.
C: Contact precautions are for diseases spread by direct contact with an infected person or surfaces, like MRSA.
D: Protective environment precautions are used for immunocompromised patients to protect them from environmental pathogens.
Question 2 of 5
A nurse is caring for a child who has impetigo contagiosa that developed in the hospital. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Initiate contact isolation precautions. Impetigo contagiosa is a highly contagious bacterial skin infection. By initiating contact isolation precautions, the nurse can prevent the spread of the infection to other patients and healthcare workers. This includes wearing gloves, gowns, and masks when in contact with the infected child. Reporting the disease to the state health department (choice
B) is important for surveillance purposes but does not directly address preventing transmission in the hospital setting. Administering amphotericin B IV (choice
C) is inappropriate as it is an antifungal medication and not indicated for impetigo. Applying lidocaine ointment topically (choice
D) is also incorrect as it is a local anesthetic and does not treat the underlying bacterial infection.
Extract:
A nurse is providing instructions about a 24-hour urine collection to an adolescent client.
Question 3 of 5
Which of the following should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Discard the first voided specimen. This is important in order to obtain an accurate urine specimen for testing. By discarding the first voided specimen, the nurse can ensure that the sample is not contaminated by bacteria or other substances that may have collected in the urethra. Voiding every hour (
B) is unnecessary and may lead to overcollection. Saving the final specimen in a separate container (
C) is not necessary and may not provide any additional benefit. Cleansing the perineum with povidone-iodine solution prior to voiding (
D) is not standard practice and may introduce contaminants into the sample.
Extract:
A nurse is caring for an infant who has heart failure and vomited following administration of digoxin.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Administer the next dose as prescribed. This is the appropriate action because it follows the healthcare provider's orders, ensuring the patient receives the intended treatment. Increasing fluid intake (choice
A) may be beneficial in some cases but is not the immediate action required here. Giving an antiemetic (choice
B) may be necessary if the patient is experiencing nausea or vomiting, but it does not address the administration of the prescribed medication. Mixing the medication with formula (choice
D) is incorrect as it may alter the medication's effectiveness or cause interactions with the formula. Overall, following the healthcare provider's instructions (choice
C) is the most appropriate and safest action in this scenario.
Extract:
A nurse is teaching the parent of an infant who has a new diagnosis of heart failure about nutrition.
Question 5 of 5
Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Implement a 3-hour feeding schedule. This instruction is important for establishing a routine and ensuring the infant receives adequate nutrition. Feeding on a schedule helps regulate the infant's intake and can prevent overfeeding or underfeeding. It also helps in monitoring the infant's growth and development.
Choice A is incorrect because placing the infant in a recumbent position during feeding can increase the risk of choking.
Choice B is incorrect as infants should be fed on cue rather than on a strict time limit like 45 minutes.
Choice C is incorrect as allowing the infant to cry before feeding can lead to unnecessary distress and is not recommended.
In summary, option D is the correct choice as it promotes a structured feeding routine that is beneficial for the infant's health and development, while the other options may have negative implications or are not evidence-based practices for infant feeding.