ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
Question 1 of 5
A nurse is preparing to assess a 4-year-old child's visual acuity. Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: The correct answer is D: Use a tumbling E chart for the assessment. This is the correct answer because the tumbling E chart is commonly used for assessing visual acuity in young children who may not know their letters. The nurse can instruct the child to point in the direction the "legs" of the E are facing. This method allows for an accurate assessment of the child's visual acuity.
Choice A is incorrect because it is important to test the child with glasses, if they wear them, to determine their visual acuity with correction.
Choice B is incorrect as the child should be positioned 3 to 6 meters (10 to 20 feet) away from the chart, not specifically 4.6 meters.
Choice C is incorrect as it is recommended to assess each eye separately first to identify any discrepancies in visual acuity between the eyes.
Question 2 of 5
A nurse is preparing to assess a 4-year-old child's visual acuity. Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: The correct answer is D: Use a tumbling E chart for the assessment. This is the correct answer because the tumbling E chart is commonly used for assessing visual acuity in young children who may not know their letters. The nurse can instruct the child to point in the direction the "legs" of the E are facing. This method allows for an accurate assessment of the child's visual acuity.
Choice A is incorrect because it is important to test the child with glasses, if they wear them, to determine their visual acuity with correction.
Choice B is incorrect as the child should be positioned 3 to 6 meters (10 to 20 feet) away from the chart, not specifically 4.6 meters.
Choice C is incorrect as it is recommended to assess each eye separately first to identify any discrepancies in visual acuity between the eyes.
Question 3 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: C
Rationale: The correct answer is C: "I will ensure that my child is tested for tuberculosis every year." This statement indicates understanding because HIV-positive individuals are at higher risk for developing tuberculosis due to their compromised immune system. Annual testing is crucial for early detection and treatment.
Choice A is incorrect because zidovudine does not directly decrease the risk of transmission, but rather helps manage HIV.
Choice B is incorrect as childhood immunizations do not need to be repeated in remission unless specifically recommended by a healthcare provider.
Choice D is incorrect as there is no indication to double medications for the next 6 months.
Question 4 of 5
A nurse is providing discharge teaching to the parents of a school-age child following surgery and cast application to the right forearm. Which of the following information is the priority for the nurse to include?
Correct Answer: D
Rationale: The correct answer is D: Monitor for pallor or swelling in the child's affected hand. This is the priority information to include because it indicates a potential complication, such as impaired circulation or compartment syndrome, which requires immediate attention to prevent further harm. Pallor or swelling in the affected hand could be signs of decreased blood flow or increased pressure within the cast, leading to tissue damage. It is crucial to monitor these signs closely to prevent any serious consequences.
Explanations for why the other choices are incorrect:
A: Using a hair dryer on a cool setting to relieve itching is not a priority compared to monitoring for circulation issues.
B: Examining the child for skin irritation at the cast edges is important but not as critical as monitoring for pallor or swelling.
C: Restricting strenuous activities for 3 days is important for proper healing but does not address immediate complications.
Overall, monitoring for pallor or swelling is the priority as it requires immediate action to prevent potential complications.
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. Vital Signs: 0715: Temperature 38 C (100.4 F), Heart rate 80/min, Respiratory rate 22/min, Blood pressure 106/65 mm Hg. 0930: Temperature 38.4 C (101.1 F), Heart rate 90/min, Respiratory rate 23/min, Blood pressure 105/65 mm Hg. Provider Prescription: Sulfamethoxazole and trimethoprim 8 mg TMP/kg/day PO, Salicylic acid 20 mg/kg/dose every 4 hr as needed for pain and fever.
Question 5 of 5
For each of the following interventions, click to specify if the potential intervention is anticipated or contraindicated for the client.
| Intervention | Anticipated |
|---|---|
| Administer Sulfamethoxazole and trimethoprim | |
| Advise child's guardian about the use of sunscreen | |
| Administer salicylic acid for pain and fever | |
| Ensure the child receives a maximum of 1,200 mL/day of fluid | |
| Educate the child about proper perineal hygiene |
Correct Answer: A,B,E
Rationale: A: Sulfamethoxazole and trimethoprim treat the UTI. B: Sunscreen is advised due to photosensitivity from the antibiotic. E: Perineal hygiene prevents recurrent UTIs. Contraindicated: C: Salicylic acid risks Reye's syndrome. D: Fluid restriction is inappropriate; increased fluids help flush bacteria.