ATI RN
ATI RN Pediatric Nursing 2023 II Questions
Extract:
Question 1 of 5
A nurse is planning care for a child who has varicella. Which of the following interventions should the nurse plan to include?
Correct Answer: D
Rationale: The correct answer is D: Initiate airborne precautions. Varicella, commonly known as chickenpox, is highly contagious and spreads through airborne droplets. By initiating airborne precautions, the nurse can prevent the spread of the virus to other individuals. Providing a warm blanket (choice
A) is not directly related to managing varicella. Assessing the oral cavity for Koplik spots (choice
B) is more indicative of measles, not varicella. Administering aspirin for fever (choice
C) is contraindicated in children with varicella due to the risk of Reye's syndrome.
Extract:
History and Physical: 5-year-old male, 18 kg (39.7 lb), Admitted following a motor-vehicle crash Surgical procedure: L leg open reduction and fixation, L arm closed reduction and fixation
Question 2 of 5
A nurse is caring for a child who is 2 hr postoperative. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D: Compare the child's pedal pulses. This is the first action the nurse should take to assess the child's circulation status postoperatively. Checking pedal pulses helps determine peripheral perfusion and any possible complications like decreased blood flow. Assessing pain (
A) is important but not the priority for circulation assessment. Rechecking temperature (
B) is not a priority unless there are specific concerns. Determining sedation level (
C) is important but secondary to assessing circulation.
Therefore, comparing pedal pulses is the first step to ensure adequate perfusion and detect any potential issues.
Extract:
Question 3 of 5
A nurse is assessing a school-age child who is receiving prednisolone. For which of the following adverse effects should the nurse monitor?
Correct Answer: B
Rationale: The correct answer is B: Prolonged wound healing. Prednisolone is a corticosteroid that can delay wound healing by suppressing the immune response and reducing inflammation. The nurse should monitor for signs of delayed wound healing, such as increased redness, swelling, or drainage at the wound site. Stevens-Johnson syndrome (
A) is a severe allergic reaction, not typically associated with prednisolone. Hypotension (
C) is more commonly seen with other medications like antihypertensives. Renal failure (
D) is not a common adverse effect of prednisolone.
Question 4 of 5
A nurse is caring for a client who is postoperative following placement of a halo vest to manage a cervical vertebral fracture. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Reposition the client using a turning sheet. When caring for a client with a halo vest, repositioning using a turning sheet helps prevent skin breakdown and pressure ulcers. This action maintains proper alignment of the halo device and reduces the risk of complications. Encouraging flexion and extension of the neck (
Choice
A) is contraindicated as it can disrupt the stability of the halo device and potentially cause harm. Assessing the pin sites for infection once every other day (
Choice
C) is important but not the priority action in this scenario. Tightening the screws on the halo device (
Choice
D) should only be done by healthcare professionals as per specific instructions.
Question 5 of 5
A nurse on a pediatric unit is caring for four children. The nurse should use droplet precautions for which of the following children?
Correct Answer: C
Rationale: The correct answer is C. Droplet precautions are indicated for seasonal influenza due to the potential for transmission through respiratory droplets. The nurse should wear a mask when in close contact with the toddler to prevent the spread of the virus. Pediculosis capitis (lice), viral conjunctivitis, and hepatitis A do not require droplet precautions as they are not primarily transmitted through respiratory droplets. Lice are transmitted through direct contact, conjunctivitis through contaminated surfaces or personal contact, and hepatitis A through the fecal-oral route. In summary, only the toddler with seasonal influenza requires droplet precautions, while the other options do not warrant such measures.