ATI RN
ATI RN Pediatric Nursing 2023 II 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: 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.
Question 2 of 5
A nurse is caring for a client who is postoperative following placement of a halo vest to manage a cervical vertebral fracture. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The nurse should not encourage flexion and extension of the neck, as this could cause further injury or damage to the spinal cord. The nurse should reposition the client using a turning sheet to prevent skin breakdown and maintain alignment of the spine. The nurse should assess the pin sites for infection at least once a day, not every other day. The nurse should not tighten the screws on the halo device, as this could cause pressure ulcers or nerve damage.
Question 3 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: Asking the child's parent to leave the room during the procedure may increase the child's anxiety and make the procedure more traumatic. Performing the procedure in the unit's playroom may not provide the necessary equipment and sterile environment required for a venipuncture. Applying a topical anesthetic cream helps reduce pain and discomfort during the venipuncture, promoting atraumatic care. Explaining the procedure in detail to the child 3 hours prior to the procedure may increase anxiety and anticipation, making the procedure more traumatic.
Question 4 of 5
A nurse on a pediatric unit is caring for four children. The nurse should use droplet precautions for which of the following children?
Correct Answer: C
Rationale: Pediculosis capitis (head lice) does not require droplet precautions. Viral conjunctivitis (pink eye) is typically spread through direct contact or contact with contaminated surfaces, not droplets. Seasonal influenza is a respiratory illness that can spread through droplets when the infected person coughs or sneezes, necessitating droplet precautions. Hepatitis A is primarily spread through the fecal-oral route and does not require droplet precautions.
Question 5 of 5
A nurse is caring for a child who is receiving conditioning therapy for enuresis. Which of the following statements by the child's parent indicate the treatment is effective?
Correct Answer: C
Rationale: Holding urine for extended periods may indicate urinary retention, which is not the desired outcome of treatment for enuresis. Drinking less may not necessarily indicate treatment effectiveness and could lead to dehydration. Waking to urinate in response to the alarm indicates improved bladder control and responsiveness to conditioning therapy for enuresis. Kegel exercises primarily target pelvic floor muscles and may not directly address the underlying causes of enuresis.