ATI RN
ATI RN Pediatric Nursing 2023 I Questions
Extract:
Question 1 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 2 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.
Question 3 of 5
A nurse in a family practice clinic is assessing a preschool-age child who recently experienced the death of a sibling. Which of the following reactions is an age-appropriate response to death?
Correct Answer: B
Rationale: The correct answer is B because preschool-age children often have a curiosity about death and may ask questions about what happened to the body of the deceased. This curiosity is a normal part of their development as they try to make sense of the concept of death. Children at this age typically do not fully comprehend the permanence of death (option
A) or give logical explanations for death (option
C). Feeling responsible for the death (option
D) is not an age-appropriate response and may indicate a need for further support and clarification.
Question 4 of 5
A nurse is caring for a child who has had a lumbar puncture. Which of the following complications should the nurse monitor the child for?
Correct Answer: C
Rationale: The correct answer is C: Headache. Following a lumbar puncture, leakage of cerebrospinal fluid can lead to a headache due to decreased pressure in the spinal canal. The nurse should monitor the child for signs of headache, including worsening with changes in position. Nuchal rigidity when standing (choice
A) is a sign of meningitis, not a lumbar puncture complication. Double vision (choice
B) is not typically associated with a lumbar puncture. Pain in the posterior iliac crest (choice
D) is not a common complication of a lumbar puncture.
Question 5 of 5
A nurse is teaching the parents of a child who has cystic fibrosis about home care following discharge. Which of the following statements should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Your child should take pancreatic enzymes with meals and snacks. This is because cystic fibrosis affects the pancreas, leading to difficulty digesting food. Pancreatic enzymes help the body break down and absorb nutrients properly.
A is incorrect as chest x-rays are not routinely done for monitoring cystic fibrosis.
B is incorrect as tonsil and adenoid removal is not directly related to cystic fibrosis.
D is incorrect as isoniazid is used to treat tuberculosis, not cystic fibrosis.
In summary, the correct answer emphasizes the importance of pancreatic enzyme replacement therapy in managing cystic fibrosis, while the other choices are unrelated or incorrect in the context of cystic fibrosis management.