ATI RN
ATI RN Pediatric Nursing 2023 I Questions
Extract:
Question 1 of 5
A nurse is performing a cranial nerve assessment on a school-age child. Which of the following findings indicates proper functioning of the child's trigeminal nerve?
Correct Answer: D
Rationale: D. The trigeminal nerve (cranial nerve V) innervates the muscles of mastication, and symmetrical jaw strength when biting down indicates proper functioning of this nerve. A. Balance relates to cranial nerve VIII. B. Gag reflex involves cranial nerve IX. C. Scents relate to cranial nerve I.
Extract:
The child's guardian states the child has been unable to sleep recently and has been very irritable. Guardian expresses concern about the child's atopic dermatitis worsening and the child scratching excessively, which results in the areas bleeding. Guardian states the child has a history of allergic rhinitis. Assessment: Child is alert and responsive, Respiratory rate even and nonlabored at rate of 24/min. No adventitious sounds auscultated, Heart rate 108/min, Generalized small clusters of reddish, scaly patches with lichenifications and depigmentation on the child's bilateral upper and lower extremities.
Question 2 of 5
Which of the following statements should the nurse plan to include in the discharge instructions for the child's guardian? Select all that apply.
Correct Answer: A,B,D,F,G
Rationale: A. Cutting and filing the child's fingernails frequently can help prevent further damage from scratching and reduce the risk of infection. B. Using a mild detergent for the child's laundry can help minimize irritation to the skin. C. Pimecrolimus cream is a topical immunomodulator that may be used for atopic dermatitis, but the thick layer application is not typically recommended for children due to safety concerns. D. Informing the guardian that the child will experience occasional flare-ups of the condition helps manage expectations and prepares them for potential recurrence. E. Atopic dermatitis is not typically contagious, so the statement that the child's condition is contagious when lesions are present is inaccurate. F. Applying gloves to the child's hands can prevent scratching and further damage to the skin. G. Applying emollients to the child's skin after bathing helps maintain skin hydration and barrier function, reducing the severity of atopic dermatitis symptoms.
Extract:
Question 3 of 5
A nurse is caring for a preschool-age child who is postoperative following a tonsillectomy and is clearing her throat frequently. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: A. Observing the child's throat with a flashlight is necessary to detect any bleeding, which is a priority concern post-tonsillectomy. B, C, D. These actions follow assessment for bleeding.
Question 4 of 5
A nurse is prioritizing care for four clients. Which of the following clients should the nurse assess first?
Correct Answer: C
Rationale: C. Slurred speech in an adolescent with sickle cell anemia could indicate a neurological complication or a stroke, which requires immediate assessment and intervention. A, B, D. These are less urgent than a potential neurological issue.
Question 5 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: B. Treating close contacts is essential to prevent the spread of scabies. A. Ketoconazole shampoo is not indicated for scabies. C. Petroleum jelly is not effective for scabies treatment. D. Soaking combs is not the primary treatment.