ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
1-week-old newborn with hyperbilirubinemia treated with phototherapy
Question 1 of 5
A nurse is caring for a 1-week-old newborn who has hyperbilirubinemia and is being treated with phototherapy. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Monitor the newborn's temperature every 2 hr. This is important because phototherapy can cause the newborn to lose body heat, leading to hypothermia. Monitoring the temperature every 2 hours allows the nurse to promptly detect any changes and intervene as needed to maintain a stable body temperature. Placing mittens on the newborn's hands (choice
B) is unnecessary and may hinder the effectiveness of phototherapy. Applying lotion to the newborn's skin (choice
C) is not recommended as it can interfere with the effectiveness of the phototherapy. Checking the newborn's eyes every 8 hours (choice
D) is not directly related to the management of hyperbilirubinemia and phototherapy.
Extract:
Adolescent with major depressive disorder
Question 2 of 5
A nurse is caring for an adolescent who has major depressive disorder. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D. Asking the client if he is considering harming himself should be the first action because it assesses the client's immediate safety. It is crucial to determine the risk of self-harm or suicide in individuals with major depressive disorder before proceeding with any other interventions. Administering an antidepressant (
A) without assessing for suicidal ideation can be dangerous. Encouraging group therapy (
B) or assisting with ADLs (
C) are important interventions, but ensuring the client's safety is the priority.
Extract:
Question 3 of 5
A nurse is providing teaching about home care to the parent of a child who has scabies. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale:
Correct Answer: B
Rationale: Treating close contacts is crucial to prevent scabies transmission. Scabies is highly contagious, easily spread through close contact. Treating only the affected child may result in reinfestation.
Therefore, instructing the parent to treat everyone who came into close contact with the child is essential to eradicate scabies.
Summary:
A: Soaking combs and brushes in boiling water is not necessary for scabies treatment.
C: Applying petroleum jelly does not effectively treat scabies.
D: Washing hair with ketoconazole shampoo is not the primary treatment for scabies.
Therefore, choices A, C, and D are incorrect for scabies home care.
Extract:
Adolescent with an NG tube
Question 4 of 5
A nurse is preparing to administer an enteral feeding to an adolescent who has an NG tube. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Check the pH of the gastric secretions. This is the first action the nurse should take to ensure proper placement of the NG tube in the stomach. Checking the pH helps confirm that the tube is in the stomach and not in the lungs or esophagus, reducing the risk of aspiration. It is a critical safety measure before administering enteral feeding.
Incorrect choices:
B: Attaching the feeding bag tubing - This should come after verifying tube placement to prevent complications.
C: Flushing the tube - Flushing can be done after verifying tube placement and before feeding.
D: Setting the administration rate - This should only be done after the tube placement is confirmed to avoid complications.
Extract:
1-week-old newborn with hyperbilirubinemia treated with phototherapy
Question 5 of 5
A nurse is caring for a 1-week-old newborn who has hyperbilirubinemia and is being treated with phototherapy. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Monitor the newborn's temperature every 2 hr. This is important because phototherapy can cause the newborn to lose body heat, leading to hypothermia. Monitoring the temperature every 2 hours allows the nurse to promptly detect any changes and intervene as needed to maintain a stable body temperature. Placing mittens on the newborn's hands (choice
B) is unnecessary and may hinder the effectiveness of phototherapy. Applying lotion to the newborn's skin (choice
C) is not recommended as it can interfere with the effectiveness of the phototherapy. Checking the newborn's eyes every 8 hours (choice
D) is not directly related to the management of hyperbilirubinemia and phototherapy.