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: The correct answer is C: Initiate contact isolation precautions. Impetigo contagiosa is highly contagious, caused by bacteria, and spreads through direct contact. By initiating contact isolation precautions, the nurse can prevent the spread of the infection to other patients and healthcare workers. Administering amphotericin B IV (choice
A) is not appropriate for impetigo contagiosa as it is a fungal infection treatment. Applying lidocaine ointment topically (choice
B) is not indicated as impetigo contagiosa requires antibiotic treatment. Reporting the disease to the state health department (choice
D) is important but not the immediate action needed to prevent transmission within the hospital setting.
Question 2 of 5
A nurse is providing discharge teaching to the parents of a school-age child following surgery and cast application to the right forearm. Which of the following information is the priority for the nurse to include?
Correct Answer: C
Rationale: The correct answer is C: Monitor for pallor or swelling in the child's affected hand. This is the priority because it indicates circulation issues, such as compartment syndrome, which is a medical emergency that can lead to tissue damage. Skin irritation at cast edges (
A) is important but not as urgent as circulation issues. Restricting strenuous activities (
B) is important for healing but not the priority. Using a hair dryer for itching (
D) can introduce moisture into the cast, leading to skin breakdown.
Extract:
Exhibit 2 Nurses' Notes 0730: Child presents to the emergency department (ED). Guardians report the child woke up coughing with a low-grade fever. Child appears alert and restless in guardian's arms. Respirations easy, no cough noted. 0800: Child became agitated. Hoarse cry noted with audible inspiratory stridor. Barking, nonproductive cough present.
Question 3 of 5
For each of the following findings, click to specify if the finding is consistent with acute laryngotracheobronchitis or pneumonia. Each finding may support more than one disease process.
| Finding | Acute Laryngotracheobronchitis | pneumonia |
|---|---|---|
| Irritability | ||
| Temperature | ||
| Cough findings at 0800 | ||
| Stridor |
Correct Answer: A,B,C,D
Rationale: The correct answer is .
A: Irritability is a common symptom seen in both acute laryngotracheobronchitis and pneumonia due to the discomfort caused by respiratory issues.
B: Temperature is an important indicator in differentiating between the two conditions as pneumonia typically presents with higher fever compared to laryngotracheobronchitis.
C: Cough findings at 0800 can be present in both conditions, but the nature of the cough and accompanying symptoms can help differentiate between them.
D: Stridor is a key clinical finding in acute laryngotracheobronchitis due to upper airway inflammation, whereas it is not a typical finding in pneumonia.
Incorrect choices:
E, F, G: These choices are left blank as they are not relevant to distinguishing between acute laryngotracheobronchitis and pneumonia based on the given parameters.
Extract:
Question 4 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 is abnormal in infants over 3 months old and suggests a neurological issue. A: No head lag is normal at 4 months. C: Tears when crying is a normal response. D: Positive Babinski reflex is normal in infants under 2 years old. The Doll's eye reflex should disappear by 3 months, so its presence at 4 months is concerning.
Question 5 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 correct answer is C: Creatinine 1.4 mg/dL (0.2 to 0.5 mg/dL). This value is elevated, indicating potential kidney dysfunction, which is a common adverse effect of gentamicin. The nurse should report this to the provider for further evaluation and possible adjustment of the medication dosage.
A: Creatinine 0.3 mg/dL is within the normal range.
B: BUN 12 mg/dL is within the normal range.
D: BUN 6 mg/dL is within the normal range.
In summary, the nurse should report an elevated creatinine level as it suggests possible kidney damage due to gentamicin. The other choices are within normal limits and do not warrant immediate attention.