ATI RN
ATI RN Pediatric Nursing 2023 Exam 3 Questions
Extract:
Question 1 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: The correct answer is C: Initiate contact isolation precautions. Impetigo contagiosa is a highly contagious skin infection caused by bacteria. Contact isolation precautions are necessary to prevent the spread of the infection to others. Administering amphotericin B IV (choice
A) is used for fungal infections, not bacterial infections like impetigo. Applying lidocaine ointment topically (choice
B) is for pain relief and does not treat the underlying infection. Reporting the disease to the state health department (choice
D) is important for tracking outbreaks but does not directly address immediate patient care.
Question 2 of 5
A nurse is preparing to perform a venipuncture on a 4-year-old child. Which of the following actions should the nurse take to ensure atraumatic care?
Correct Answer: C
Rationale: The correct answer is C: Apply a topical anesthetic cream 1 hr prior to the procedure. This action is essential for atraumatic care as it helps to numb the area where the venipuncture will be performed, reducing the child's discomfort and anxiety during the procedure. Applying the cream an hour before the procedure allows adequate time for the anesthetic effect to take place.
Other choices are incorrect because:
A: Asking the child's parent to leave the room may increase the child's anxiety and make the procedure more traumatic.
B: Performing the procedure in the playroom may not provide a sterile environment necessary for venipuncture.
D: Explaining the procedure in detail to the child 3 hours prior may cause unnecessary anxiety and fear, as children may not fully understand the details or remember them after such a long period.
Question 3 of 5
A nurse is assessing a child who has measles. Which of the following areas should the nurse inspect for Koplik spots?
Correct Answer: C
Rationale: The correct answer is C: Inside of the cheeks. Koplik spots are small white spots with a bluish-white center on the buccal mucosa opposite the molars. These spots are specific to measles and appear before the characteristic rash. Inspecting the inside of the cheeks allows the nurse to identify these spots early, aiding in prompt diagnosis and appropriate management. The other areas listed (forehead, chest, back) are not associated with the presence of Koplik spots in measles.
Question 4 of 5
A nurse is caring for a 1-year-old child who has been hospitalized. Which of the following items in the child's room is a common source of health care-associated infection?
Correct Answer: B
Rationale: The correct answer is B: Bedside computer keyboard. The keyboard is a common source of healthcare-associated infections due to frequent use and potential contamination from various sources. Keyboards are often touched by multiple healthcare providers without proper cleaning, leading to the spread of pathogens. Unopened bottles of formula (
A) are typically sterile until opened. Disposable diapers (
C) are not a common source of infection if disposed of properly. Protective plastic gowns (
D) are used to prevent contamination rather than being a source of infection.
Question 5 of 5
A nurse is assessing a 4-month-old infant during a well-baby visit. For which of the following findings should the nurse notify the provider?
Correct Answer: B
Rationale: The correct answer is B: Doll's eye reflex intact. This reflex, also known as oculocephalic reflex, should not be present in infants beyond 3 months old. It involves the eyes moving in the opposite direction of head movement, which is abnormal in older infants. This finding could indicate a neurological issue and should be reported to the provider for further evaluation.
Choice A is normal as lack of head lag at 4 months indicates appropriate muscle tone.
Choice C is normal as infants should start producing tears when crying around this age.
Choice D is normal in infants under 2 years old as the Babinski reflex is present until this age.