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 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 3 of 5
A nurse is obtaining informed consent for an adolescent who is scheduled for a cardiac catheterization. The adolescent's guardian states, 'I don't understand why they need to do this procedure.' Which of the following actions should the nurse take?
Correct Answer: B
Rationale:
Correct
Answer: B
Rationale: The nurse should explain the procedure to both the adolescent and their guardian to ensure they understand the purpose, risks, and benefits. This fosters informed decision-making. It is essential for the guardian to comprehend why the procedure is necessary to provide valid consent. Requesting assistance from the anesthesiologist (
A) may not address the guardian's concerns directly. Witnessing the adolescent's signature (
C) is important but does not address the guardian's lack of understanding. Notifying the provider (
D) is not the immediate action needed to address the guardian's concern.
Question 4 of 5
A nurse is reviewing the laboratory results of a child who was recently admitted for suspected rheumatic fever. The nurse should identify that which of the following laboratory tests can contribute to confirming this diagnosis? Select all that apply.
Correct Answer: B,C,D
Rationale: The correct answer is B, C, and D.
B: C-reactive protein (CRP) is elevated in inflammatory conditions like rheumatic fever, indicating active inflammation.
C: Erythrocyte sedimentation rate (ESR) is also elevated in inflammatory conditions, supporting the diagnosis of rheumatic fever.
D: Antistreptolysin O (ASO) titer is used to detect a recent streptococcal infection, which can trigger rheumatic fever.
Incorrect choices:
A: Partial thromboplastin time (PTT) is not specific to rheumatic fever.
E: Blood urea nitrogen (BUN) is not relevant for diagnosing rheumatic fever.
Question 5 of 5
A nurse is caring for a 5-year-old child following a tonsillectomy and adenoidectomy. Which of the following findings should the nurse identify as an indication of hemorrhage?
Correct Answer: D
Rationale: The correct answer is D: Continuous swallowing. Following tonsillectomy and adenoidectomy, continuous swallowing can indicate hemorrhage as the child may be swallowing blood. This can lead to increased risk of airway obstruction and further bleeding. Heart rate, flushing of the face, and blood pressure may not be reliable indicators of hemorrhage in this case. A decrease in heart rate can be due to the child's age or medications, flushing can be a response to pain or anxiety, and the blood pressure may not necessarily indicate hemorrhage. Continuous swallowing is the most concerning finding post-operatively and should be addressed promptly.