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.
Extract:
Nurses' Notes 0930: Parent presents child to provider's office. Parent reports the child has had a fever for 2 days and that the child has cried more than usual. Parent also reports the child has had a decreased appetite for the last 24 hr. Child febrile and lethargic. 0945: Notified provider of parent reports and child's fever. New prescriptions received. 1000: Urine sample obtained via sterile straight catheter. Vital Signs 0930: Temperature 38.4° C (101.1° F), Heart rate 128/min, Respiratory rate 28/min. Diagnostic Results 1030: Urinalysis: Appearance: cloudy and dark amber (clear), Specific gravity 1.035 (1.005 to 1.030), Leukocyte esterase: positive (negative), Nitrites: present (none), WBCS: 10 (0 to 4).
Question 2 of 5
Select words from the choices to fill in each blank in the following sentence. The child is at risk for developing ______ and _______.
Correct Answer: A,D
Rationale: The correct answer is A (Nephrotic syndrome) and D (Acute glomerulonephritis). Nephrotic syndrome is a kidney disorder characterized by proteinuria and edema, common in children. Acute glomerulonephritis is inflammation of the kidney's glomeruli often caused by infections. Both conditions put the child at risk for kidney damage and long-term complications.
Choices B, C, and E are not directly related to the child's risk of developing kidney issues. Renal scarring is typically a result of past infections or injuries, not a direct risk factor. Polycystic kidney disease is a genetic condition, and pyelonephritis is a bacterial infection of the kidney.
Therefore, A and D are the most appropriate choices given the context of the sentence.
Extract:
Question 3 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.
Extract:
Nurses' Notes 0930: Parent presents child to provider's office. Parent reports the child has had a fever for 2 days and that the child has cried more than usual. Parent also reports the child has had a decreased appetite for the last 24 hr. Child febrile and lethargic. 0945: Notified provider of parent reports and child's fever. New prescriptions received. 1000: Urine sample obtained via sterile straight catheter. Vital Signs 0930: Temperature 38.4° C (101.1° F), Heart rate 128/min, Respiratory rate 28/min. Diagnostic Results 1030: Urinalysis: Appearance: cloudy and dark amber (clear), Specific gravity 1.035 (1.005 to 1.030), Leukocyte esterase: positive (negative), Nitrites: present (none), WBCS: 10 (0 to 4).
Question 4 of 5
Select words from the choices below to fill in each blank in the following sentence. The child is at risk for developing _______ and ______.
Correct Answer: A,D
Rationale: The correct answer is A (Nephrotic syndrome) and D (Acute glomerulonephritis) because both conditions are common kidney disorders in children. Nephrotic syndrome is characterized by proteinuria, hypoalbuminemia, edema, and hyperlipidemia, putting the child at risk for fluid imbalances and infections. Acute glomerulonephritis is an inflammation of the glomeruli causing hematuria, proteinuria, and hypertension, leading to potential renal damage and long-term complications.
Choices B, C, and E are not directly related to the child's risk in the given sentence.
Extract:
Question 5 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.