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.
Question 2 of 5
A nurse is caring for an infant who has necrotizing enterocolitis. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Rounded abdomen. Necrotizing enterocolitis (NE
C) is a serious condition in infants characterized by inflammation and necrosis of the intestines. A rounded abdomen is a common finding in NEC due to abdominal distention from gas and fluid accumulation. Vomiting (
A) is a nonspecific symptom in infants and can occur in various conditions. Hypertension (
B) is not typically associated with NEC. Tachypnea (
D) can occur in NEC due to respiratory distress, but it is not a specific finding.
Question 3 of 5
A nurse is providing instructions about a 24-hr urine collection to an adolescent client. Which of the following should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Discard the first voided specimen. This is because the first voided specimen may contain substances that have accumulated overnight and are not representative of the 24-hour collection. It is important to start the collection after discarding the first void and then collect all subsequent voids over the next 24 hours.
Choice B is incorrect as voiding every hour is not necessary for a 24-hour urine collection.
Choice C is incorrect because cleansing with a povidone-iodine solution is not typically required for a urine collection.
Choice D is incorrect because saving the final specimen in a separate container is unnecessary and may lead to confusion.
Extract:
Nurses' Notes 0700: 7-year-old client who weighs 18.1 kg (39.9 lb) admitted with a UTI. Child reports pain and burning upon urination and feeling like they need to go to the bathroom all the time. Child's guardian reports the client has been incontinent of urine the past 2 nights and that the urine has a very strong odor.
Question 4 of 5
The nurse is planning care for the client. For each the following interventions, click to specify if the potential intervention is anticipated or contraindicated for the client.
| Potential Intervention | Indicated | Contraindicated |
|---|---|---|
| Administer salicylic acid for pain and fever. | ||
| Administer sulfamethoxazole and trimethoprim. | ||
| Educate the child about proper perineal hygiene. | ||
| Advise child's guardian about the use of sunscreen. |
Correct Answer: B,C,D
Rationale: [0, 1, 1, 1]
For the given scenario, the correct interventions are administering sulfamethoxazole and trimethoprim , educating the child about proper perineal hygiene (
C), and advising the child's guardian about sunscreen use (
D). Administering salicylic acid (
A) is contraindicated as it can cause Reye's syndrome in children recovering from viral infections. This intervention should be avoided. The child may not need sulfamethoxazole and trimethoprim, as it may not be indicated for their condition, making it contraindicated. However, educating the child about perineal hygiene is always beneficial for their health and well-being. Advising the child's guardian about sunscreen is also important for protecting the child from harmful UV rays and preventing skin damage.
Extract:
Question 5 of 5
A nurse is caring for a child who has impetigo contagiosa that developed in the hospital. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Initiate contact isolation precautions. Impetigo contagiosa is highly contagious, caused by bacteria, and spreads through direct contact. By initiating contact isolation precautions, the nurse can prevent the spread of the infection to other patients and healthcare workers. Administering amphotericin B IV (choice
A) is not appropriate for impetigo contagiosa as it is a fungal infection treatment. Applying lidocaine ointment topically (choice
B) is not indicated as impetigo contagiosa requires antibiotic treatment. Reporting the disease to the state health department (choice
D) is important but not the immediate action needed to prevent transmission within the hospital setting.