ATI RN
ATI RN Pediatric Nursing 2023 I Questions
Extract:
Question 1 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?
Order the Items
Source Container
Correct Answer: A
Rationale: The correct order is: A, B, C, D. The nurse should report a high creatinine level (1.4 mg/dL) as it indicates possible kidney damage from gentamicin, which is nephrotoxic. A low creatinine level (0.3 mg/dL) is within the normal range and not concerning. BUN levels are not as specific for kidney damage as creatinine, so a slightly high (12 mg/dL) or low (6 mg/dL) BUN level may not be as urgent to report.
Question 2 of 5
A nurse is providing teaching to the parents of a school-age child newly diagnosed with a seizure disorder. The nurse should teach the parents to take which of the following actions during a seizure?
Correct Answer: B
Rationale: The correct answer is B: Clear the area of hard objects. During a seizure, it is important to ensure the safety of the individual by removing any nearby hard objects that could cause injury. Placing the child in a prone position (choice
C) is not recommended as it can lead to airway obstruction. Minimizing movement of the limbs (choice
A) is also not necessary as it may not be possible to control the child's movements during a seizure. Inserting a tongue blade between the teeth (choice
D) is dangerous and can cause harm.
Therefore, the best action to take during a seizure is to clear the area of hard objects to prevent injury.
Question 3 of 5
A nurse is providing teaching to the parents of a child who has impetigo. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Apply bactericidal ointment to lesions. Impetigo is a bacterial skin infection, so applying a bactericidal ointment helps kill the bacteria and promote healing. This instruction directly targets the infection.
Incorrect choices:
B: Administering acyclovir is for viral infections, not bacterial impetigo.
C: Soaking hairbrushes in boiling water is more for lice infestation, not impetigo.
D: Sealing soft toys is unnecessary for impetigo transmission since it is primarily spread through direct contact.
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: The correct answer is D: Hyperpyrexia. Acetylsalicylic acid poisoning can lead to metabolic acidosis and increased body temperature (hyperpyrexia). The salicylate toxicity inhibits the body's ability to regulate temperature. Neck vein distention (
A) is not typically associated with acetylsalicylic acid poisoning. Polyuria (
B) is not a common symptom; in fact, dehydration and renal failure may lead to decreased urine output. Jaundice (
C) is not a direct effect of aspirin poisoning. In summary, hyperpyrexia is the most likely symptom of acute acetylsalicylic acid poisoning, while the other options are not typically seen in this condition.
Question 5 of 5
A nurse is assessing a 6-month-old infant who has respiratory syncytial virus. The nurse should immediately report which of the following findings to the provider?
Correct Answer: D
Rationale: The correct answer is D: Tachypnea. In infants with respiratory syncytial virus (RSV), tachypnea (rapid breathing) is a concerning sign indicating respiratory distress and potential respiratory failure. Reporting this finding promptly to the provider is crucial for timely intervention. Rhinorrhea (
A), pharyngitis (
B), and coughing (
C) are common symptoms of RSV but do not signify immediate danger. Tachypnea (
D) requires urgent attention due to its association with respiratory compromise.