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: A. Amphotericin B is an antifungal medication and is not indicated for impetigo, which is a bacterial skin infection. B. Lidocaine ointment is a local anesthetic and is not indicated for the treatment of impetigo. C. Impetigo is highly contagious, and contact isolation precautions should be initiated to prevent its spread within the hospital setting. D. Reporting the disease to the state health department may be necessary for surveillance purposes, but the immediate priority is to implement infection control measures.
Question 2 of 5
A nurse is preparing to administer an IM injection to a 3-year-old child. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: A. Offering a prize for not crying may inadvertently suggest to the child that crying is expected and rewarded, potentially increasing anxiety. B. This statement may not provide adequate information to the child about the procedure and may not alleviate anxiety. C. While this statement attempts to minimize the sensation of pain, it may not provide enough reassurance or information about the procedure. D. Allowing the child to choose which leg they receive the injection in empowers them and gives them a sense of control, which can help reduce anxiety and make the experience less stressful.
Question 3 of 5
A nurse is assessing a 7-year-old child who has diabetes mellitus. Which of the following findings should the nurse identify as a manifestation of hypoglycemia?
Correct Answer: B
Rationale: A. Increased capillary refill is not typically associated with hypoglycemia but may indicate poor peripheral circulation. B. Shakiness is a common manifestation of hypoglycemia due to the release of epinephrine in response to low blood sugar levels. C. Thirst is more commonly associated with hyperglycemia (high blood sugar levels) rather than hypoglycemia. D. Decreased appetite may occur in hypoglycemia, but it is not as specific a symptom as shakiness.
Question 4 of 5
A nurse is assessing a school-age child who has heart failure and is taking furosemide. Which of the following findings should the nurse identify as an indication that the medication is effective?
Correct Answer: B
Rationale: A. Furosemide is a loop diuretic that typically causes potassium loss, so an increase in potassium levels would not be expected as an indication of effectiveness. B. Furosemide is prescribed to reduce fluid volume overload, which often manifests as peripheral edema in patients with heart failure. A decrease in peripheral edema indicates that the medication is effectively reducing fluid retention. C. Furosemide is not typically prescribed to decrease cardiac output but rather to reduce fluid volume overload, which may help improve cardiac function indirectly. D. Furosemide is not typically prescribed to increase venous pressure but rather to decrease fluid volume overload, which may help reduce venous pressure over time.
Question 5 of 5
A nurse is teaching the guardian of a newborn about how to prepare their 3-year-old child to meet their new sibling. Which of the following statements should the nurse make?
Correct Answer: B
Rationale: A. While preparing the 3-year-old child for changes in routines is important, it is too general. Providing specific strategies like role-playing with a doll would be more helpful. B. Providing a doll for the 3-year-old child to imitate parental behaviors is an effective way to help them understand and adjust to the new sibling's arrival. This encourages a sense of involvement and can help alleviate feelings of jealousy or displacement. C. While telling the 3-year-old child about having a new playmate is positive, it does not offer concrete strategies for preparing the child for the new sibling's arrival. D. Waiting for the newborn to come home before moving the 3-year-old child from the crib to a bed may not be necessary. The transition from crib to bed can be independent of the newborn's arrival and should be based on the child's readiness.