ATI RN
ATI Pediatrics Exam 2 Questions
Extract:
A school-age child with a systemic disorder, receiving antibiotics, immunosuppressants, corticosteroids, parents with smoking history, soreness in mouth, white, milky plaque that does not come off.
Question 1 of 5
A nurse is caring for a school-age child who has a systemic disorder and is receiving antibiotics, immunosuppressants, and corticosteroids. Both of the child's parents have a smoking history. The child reports soreness in his mouth and refuses to eat. Inspection of his mouth reveals a white, milky plaque that does not come off with rubbing. The nurse should suspect which of the following conditions?
Correct Answer: D
Rationale: Candidiasis (oral thrush) is likely due to immunosuppression from medications, causing white plaque. Herpes simplex causes blisters, dermatitis affects skin, and squamous cell carcinoma causes ulcerated growths, none matching the description.
Extract:
A child with measles.
Question 2 of 5
A nurse is assisting with the admission of a child who has measles. Which of the following isolation precautions should the nurse initiate?
Correct Answer: B
Rationale: Measles spreads via airborne transmission, requiring airborne precautions with a negative pressure room and respiratory protection.
Extract:
An infant with developmental dysplasia of the hip (DDH) using a Pavlik harness.
Question 3 of 5
A nurse in a provider's office is caring for an infant who has developmental dysplasia of the hip (DDH). The nurse should include which of the following instructions when teaching the parents about the Pavlik harness?
Correct Answer: D
Rationale: Placing the diaper under the harness prevents interference with its function. Removing the harness, adjusting straps, or massaging skin risks complications.
Extract:
A child with red marks across his cheeks.
Question 4 of 5
A nurse is caring for a child who has red marks across his cheeks. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Red cheek marks suggest fifth disease, which may spread to the body. Assessing for rash confirms this. Abuse referral or questioning parents is premature; temperature is nonspecific.
Extract:
School-age boys.
Question 5 of 5
A nurse is developing a health program for the parents of school-age boys. Which of the following information about pubescent changes should the nurse include in the program?
Correct Answer: B
Rationale: Growth spurts occur in mid-puberty, correct. Voice changes are mid-to-late puberty. Delayed puberty is diagnosed at 14, not 11. Gynecomastia occurs early-to-mid puberty.