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: Providing the child with a warm blanket can help keep the child comfortable during the course of the illness but initiating airborne precautions is best intervention required. Assessing the oral cavity for Koplik spots is not relevant for varicella, as Koplik spots are associated with measles. Administering aspirin for fever is contraindicated in children with varicella due to the risk of Reye's syndrome. The nurse should initiate airborne precautions, which include placing the child in a private room with negative air pressure, wearing a mask or respirator when entering the room, and limiting visitors and staff exposure.
Question 2 of 5
A nurse is providing teaching to the parents of a school-age child newly diagnosed with a seizure disorder. The nurse should teach the parents to take which of the following actions during a seizure?
Correct Answer: B
Rationale: Placing the child in a prone position can obstruct the airway and increase the risk of aspiration. Clearing the area of hard objects helps prevent injury during a seizure. Inserting a tongue blade between the teeth can cause oral trauma and should be avoided. Minimizing movement of the limbs is not necessary during a seizure; the focus should be on ensuring safety and preventing injury.
Question 3 of 5
A nurse is preparing to administer an IM injection to a 3-year-old child. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: Offering a prize for not crying may inadvertently reinforce crying as an expectation. This statement is not accurate because the medicine might not fix the problem or make the child feel better immediately. Assuring the child that they will only feel a little stick is not honest because the injection might hurt more than a little stick, and lying to the child can damage the trust between the nurse and the child. Allowing the child to choose the injection site allows the child to have some control and autonomy over the situation, which can reduce anxiety and fear.
Question 4 of 5
A nurse is planning care for a preschooler who has autism spectrum disorder. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: Maintaining extended eye contact may be challenging for children with autism spectrum disorder, as they may have difficulty with social interaction and communication. Establishing a reward system is beneficial for children with autism spectrum disorder as it provides positive reinforcement for desired behaviors, helping to encourage and maintain them. Engaging in cooperative play might be difficult for a child with autism spectrum disorder due to challenges in social interaction and communication.
Question 5 of 5
A nurse is providing teaching to a parent of a child who has HIV. Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: A
Rationale: A child with HIV is at increased risk of developing tuberculosis and should be screened annually. This is incorrect because the risk of transmission does not depend on the duration of zidovudine therapy, but on the viral load and the exposure to body fluids. Doubling medications is not a standard practice in HIV management and may lead to medication errors or adverse effects. Childhood immunizations are important for children with HIV, but they may need to be adjusted based on the child's immune status and treatment regimen, not just during remission.