ATI RN
ATI RN Pediatric Nursing 2023 II Questions
Extract:
Question 1 of 5
A nurse is preparing to administer immunizations to a 3-month-old infant. Which of the following is an appropriate action for the nurse to take to deliver atraumatic care?
Correct Answer: B
Rationale: Injecting the immunizations into the deltoid muscle may be appropriate for older children or adults but not for infants. Providing a pacifier coated with an oral sucrose solution has been shown to reduce pain and distress during injections in infants, promoting atraumatic care. A 20-gauge needle may cause more pain and tissue trauma in infants compared to a smaller gauge needle. EMLA cream is not typically recommended for immunizations in infants as it requires time to take effect and may not provide adequate pain relief during the procedure.
Question 2 of 5
A nurse in an emergency department is assessing an adolescent who reports inhalation of gasoline. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Inhalation of gasoline is more likely to cause hyperthermia due to its effects on the central nervous system and metabolic rate. Hyperactive reflexes are not typically associated with gasoline inhalation but rather with stimulant use such as amphetamines or cocaine. Ataxia, or lack of coordination, is a common neurological symptom of gasoline inhalation due to its toxic effects on the brain and nervous system. Pinpoint pupils are more commonly associated with opioid overdose, not gasoline inhalation.
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 3 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: A. Salicylic acid is contraindicated for children under 12 years old because it can cause Reye's syndrome, a rare but serious condition that affects the brain and liver. B. Sulfamethoxazole and trimethoprim is an antibiotic that is commonly used to treat UTIs caused by bacteria such as E. coli. It is anticipated for this client because it can help clear the infection and reduce the symptoms. C. Proper perineal hygiene is important for preventing UTIs, especially in girls who have a shorter urethra than boys. The nurse should educate the child about wiping from front to back after using the toilet, avoiding bubble baths and scented products, and changing underwear daily. D. Sunscreen is advised for clients taking sulfamethoxazole and trimethoprim because this medication can increase the sensitivity of the skin to sunlight and cause sunburns or rashes.
Extract:
Question 4 of 5
A nurse is caring for a child who is receiving conditioning therapy for enuresis. Which of the following statements by the child's parent indicate the treatment is effective?
Correct Answer: C
Rationale: Holding urine for extended periods may indicate urinary retention, which is not the desired outcome of treatment for enuresis. Drinking less may not necessarily indicate treatment effectiveness and could lead to dehydration. Waking to urinate in response to the alarm indicates improved bladder control and responsiveness to conditioning therapy for enuresis. Kegel exercises primarily target pelvic floor muscles and may not directly address the underlying causes of enuresis.
Question 5 of 5
A nurse is prioritizing care for four clients. Which of the following clients should the nurse assess first?
Correct Answer: C
Rationale: While osteomyelitis is a serious condition requiring treatment, receiving an IV bolus of nafcillin is not an urgent procedure compared to a neurological symptom like slurred speech. Pain management is important, but a pain level of 7, while significant, does not indicate an immediate life-threatening situation. Slurred speech in an adolescent with sickle cell anemia could indicate a neurological complication or a stroke, which requires immediate assessment and intervention. Although the toddler with a partial-thickness burn needs care, it is not as urgent as assessing a potential neurological issue.