ATI RN
ATI RN Pediatric Nursing 2023 II Questions
Extract:
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: C
Rationale: Checking the newborn's eyes every 8 hours is not necessary for the management of hyperbilirubinemia or phototherapy. Placing mittens on the newborn's hands is unrelated to the management of hyperbilirubinemia or phototherapy. Monitoring the newborn's temperature every 2 hours is essential during phototherapy because infants are at risk of hypothermia due to increased heat loss from the lights. Applying lotion to the newborn's skin is not recommended during phototherapy as it can interfere with the effectiveness of the lights.
Question 2 of 5
A nurse is caring for a 4-year-old child who has meningitis and is receiving gentamicin. Which of the following laboratory values should the nurse report to the provider?
Correct Answer: C
Rationale: The creatinine level is within the normal range. The BUN level is within the normal range. An elevated creatinine level suggests impaired kidney function, which could be a sign of nephrotoxicity from gentamicin. The BUN level is within the normal range.
Question 3 of 5
A nurse is planning to teach an adolescent who is lactose intolerant about dietary guidelines. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: This option provides a suitable alternative for obtaining calcium without consuming milk, which is appropriate for someone who is lactose intolerant. While plain milk may be better tolerated than chocolate milk due to fewer additives, it's not a suitable option for someone who is lactose intolerant. Flavored yogurt may contain lactose and could potentially worsen symptoms of lactose intolerance. Drinking milk on an empty stomach doesn't address the issue of lactose intolerance and may exacerbate symptoms.
Question 4 of 5
A nurse in an emergency department is caring for a preschool-age child who has acute acetylsalicylic acid poisoning. Which of the following should the nurse expect?
Correct Answer: D
Rationale: Neck vein distention is not typically associated with acetylsalicylic acid poisoning. Jaundice is not typically associated with acetylsalicylic acid poisoning. Polyuria is not typically associated with acetylsalicylic acid poisoning. Hyperpyrexia, or extremely high fever, is a common symptom of severe acetylsalicylic acid poisoning due to its effects on the central nervous system and metabolism.
Question 5 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: C
Rationale: Administering amphotericin B IV is not indicated for impetigo contagiosa, which is typically treated with topical antibiotics. Applying lidocaine ointment topically is not indicated for impetigo contagiosa and would not address the infection. Initiating contact isolation precautions is appropriate for impetigo contagiosa to prevent the spread of the infection to other patients and healthcare workers. Reporting the disease to the state health department may be necessary for certain communicable diseases but is not the immediate action required in this scenario.