ATI RN
ATI RN Pediatrics 2023 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: A
Rationale: The correct answer is A: Maculopapular skin burrows on the hand. Scabies is caused by the Sarcoptes scabiei mite burrowing into the skin, resulting in characteristic burrows typically found in webs of fingers, wrists, and elbows. Scaly lesions (
B) and a rash with red macular lesions (
D) are not specific to scabies. A bull's eye edematous area (
C) is more indicative of Lyme disease.
Extract:
School-age child receiving morphine
Question 2 of 5
A nurse is assessing a school-age child who is receiving morphine. For which of the following adverse effects should the nurse monitor?
Correct Answer: C
Rationale: The correct answer is C: Nausea. When a child is receiving morphine, nausea is a common adverse effect due to the medication's action on the gastrointestinal tract. The nurse should monitor for nausea to address it promptly and ensure the child's comfort. Stevens-Johnson syndrome (
A) is a severe skin reaction mainly caused by medications other than morphine. Prolonged wound healing (
B) is not a typical adverse effect of morphine. Renal failure (
D) is not directly associated with morphine use in school-age children.
Extract:
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 because symmetrical jaw strength when biting down indicates proper functioning of the trigeminal nerve. This nerve controls sensation in the face and motor functions such as biting and chewing. A, B, and C are incorrect as they do not specifically assess the trigeminal nerve. A tests the glossopharyngeal nerve, B tests the vestibular nerve, and C tests the olfactory nerve. By assessing jaw strength, the nurse can determine if the child's trigeminal nerve is functioning correctly.
Question 4 of 5
A nurse is providing teaching about injury prevention to the parents of a toddler. Which of the following safety measures should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Check clothing for loose buttons. This safety measure is important to prevent choking hazards for the toddler. Loose buttons can easily come off and pose a risk of being swallowed. This action promotes safe clothing practices, reducing the risk of accidental ingestion.
Other choices are incorrect:
A: Providing balloons for play can be dangerous as they pose a choking hazard.
B: Adjusting the water heater temperature to 54° C is too low and can lead to bacterial growth in the water.
C: Placing screens on windows is important for preventing falls but not directly related to injury prevention from clothing hazards.
Extract:
Adolescent requesting testing for STIs
Question 5 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 is seeking testing for STIs, which is considered a sensitive issue requiring informed consent. Written consent ensures the client fully understands the procedure, risks, and implications. Verbal consent (
B) may not provide a documented record of consent. Contacting the client's parents (
C) may violate the adolescent's confidentiality and autonomy. Postponing testing (
D) can delay necessary care. The other choices are not relevant.