ATI RN
ATI RN Pediatric Nursing 2023 II Questions
Extract:
Question 1 of 5
A nurse is caring for a child who has sickle cell anemia. Which of the following findings is the priority for the nurse to report to the provider?
Correct Answer: D
Rationale: Kyphosis, or curvature of the spine, is not typically an urgent concern in sickle cell anemia. Constipation can occur but is not typically an urgent complication. Enuresis, or bedwetting, may be a concern but is not typically an urgent complication. Facial twitching could indicate neurological involvement or a stroke, which is a serious complication of sickle cell anemia and requires immediate attention.
Question 2 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.
Question 3 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: Unopened bottles of formula are not typically sources of healthcare-associated infections. Bedside computer keyboards can harbor pathogens and serve as fomites for transmitting infections. Disposable diapers are not typically sources of healthcare-associated infections if used appropriately. Protective plastic gowns are not typically sources of healthcare-associated infections if used appropriately.
Question 4 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 5 of 5
A nurse is assessing a school-age child who is receiving morphine. For which of the following adverse effects should the nurse monitor?
Correct Answer: D
Rationale: Stevens-Johnson syndrome is a severe, rare, and potentially life-threatening reaction that can occur as a hypersensitivity reaction to certain medications. However, it is not typically associated with morphine use. Morphine is more commonly associated with hypotension rather than hypertension. Morphine use is not typically associated with prolonged wound healing. Morphine is a potent opioid analgesic that can cause respiratory depression, leading to bradypnea (slow breathing) or even respiratory arrest.