ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
School-age child with diabetes mellitus
Question 1 of 5
A nurse is caring for a school-age child who has diabetes mellitus. Which of the following findings should the nurse recognize as being consistent with hyperglycemia?
Correct Answer: C
Rationale: The correct answer is C: Thirst. Hyperglycemia in a child with diabetes mellitus leads to increased blood sugar levels, causing the body to try to dilute the excess sugar by increasing urine output, leading to dehydration and thirst. Tremors (
A) are more indicative of hypoglycemia. Pallor (
B) is associated with anemia or decreased blood flow. Sweating (
D) is not typically a direct symptom of hyperglyzemia.
Extract:
12-month-old infant up-to-date with current immunization schedule
Question 2 of 5
A nurse is preparing to administer recommended immunizations to a 12-month-old infant who is up-to-date with the current schedule. Which of the following immunizations should the nurse plan to administer? Select all that apply.
Correct Answer: A,C
Rationale: The correct answers are A and C. Varicella (VAR) and Measles, mumps, and rubella (MMR) are recommended immunizations for a 12-month-old infant. VAR protects against chickenpox and MMR protects against measles, mumps, and rubella. Both are part of the routine childhood immunization schedule.
Choice B, HPV4, is not typically administered at 12 months but rather later in adolescence.
Choice D, Rotavirus (RV), is usually given in early infancy, not at 12 months.
Choice E, Herpes zoster, is a vaccine for shingles, which is not routinely given to infants.
Extract:
Question 3 of 5
A nurse is providing teaching about home care to the parent of a child who has scabies. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale:
Correct
Answer: B
Rationale: Treating close contacts is crucial to prevent scabies transmission. Scabies is highly contagious, easily spread through close contact. Treating only the affected child may result in reinfestation.
Therefore, instructing the parent to treat everyone who came into close contact with the child is essential to eradicate scabies.
Summary:
A: Soaking combs and brushes in boiling water is not necessary for scabies treatment.
C: Applying petroleum jelly does not effectively treat scabies.
D: Washing hair with ketoconazole shampoo is not the primary treatment for scabies.
Therefore, choices A, C, and D are incorrect for scabies home care.
Extract:
Adolescent with major depressive disorder
Question 4 of 5
A nurse is caring for an adolescent who has major depressive disorder. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D. Asking the client if he is considering harming himself should be the first action because it assesses the client's immediate safety. It is crucial to determine the risk of self-harm or suicide in individuals with major depressive disorder before proceeding with any other interventions. Administering an antidepressant (
A) without assessing for suicidal ideation can be dangerous. Encouraging group therapy (
B) or assisting with ADLs (
C) are important interventions, but ensuring the client's safety is the priority.
Extract:
Question 5 of 5
A nurse is teaching the guardian of a toddler about discipline. Which of the following statements by the guardian indicates an understanding of the teaching?
Correct Answer: A
Rationale:
Correct
Answer: A: "I will use reasoning to explain to my child why their behavior was wrong."
Rationale:
1. Using reasoning helps the child understand the consequences of their actions, promoting learning.
2. It encourages open communication and trust between the child and the guardian.
3. It helps the child develop critical thinking skills and self-regulation.
Summary of Incorrect
Choices:
B. Ignoring temper tantrums doesn't address the behavior and may reinforce it.
C. Giving only one warning may not provide enough opportunity for learning and behavior correction.
D. Reminding of past misbehavior can lead to resentment and may not effectively address the current behavior.