ATI RN
ATI Nur307 Pediatrics Quiz 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: C
Rationale: Varicella requires airborne precautions due to transmission through respiratory droplets and aerosols.
Extract:
Nurses' Notes: 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. Medication Administration Record: Diphenhydramine 10 mg PO 4 times per day, Pimecrolimus 1% cream apply to skin lesions daily. 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 excessive scratching and further damage to the skin. B: Using a mild detergent reduces the risk of skin irritation and exacerbation of atopic dermatitis. D: Atopic dermatitis tends to have periodic flare-ups, so it's important to inform the guardian about this aspect of the condition. F: Applying gloves to the child's hands can prevent scratching and further skin damage. G: Emollients help to moisturize the skin and improve its barrier function, which is important in managing atopic dermatitis.
Extract:
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: C
Rationale: Discarding the first voided specimen ensures the urine collection represents the entire 24-hour period.
Question 4 of 5
A nurse is caring for a newly admitted child who has cystic fibrosis. For which of the following members of the interprofessional team should the nurse initiate a referral?
Correct Answer: C
Rationale: A dietitian is crucial for managing the nutritional needs of a child with cystic fibrosis, who require a high-calorie diet due to malabsorption.
Question 5 of 5
A nurse is preparing to administer ibuprofen 10 mg/kg PO to a child. The child weighs 55 lb. Available is ibuprofen 100 mg/5 mL solution. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 12.5 mL
Rationale: 1. Convert 55 lb to kg: 55 / 2.2 = 25 kg. 2. Calculate dose: 10 mg/kg x 25 kg = 250 mg. 3. Calculate volume: 250 mg / (100 mg/5 mL) = 12.5 mL.