ATI RN
ATI RN Nursing Care of Children 2019 Questions
Extract:
Child with scabies
Question 1 of 5
A nurse is providing teaching about home care to the parent of a child who has scabies. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Treat everyone who came into close contact with the child. This is important to prevent the spread of scabies since it is highly contagious and can easily spread through close contact. Treating close contacts helps to eliminate any potential sources of reinfection. Washing the child's hair with ketoconazole shampoo (
Choice
A) is not effective against scabies mites. Soaking combs and brushes in boiling water (
Choice
C) is not necessary as scabies mites do not typically survive long off the body. Applying petroleum jelly (
Choice
D) may suffocate the mites but is not as effective as treating close contacts.
Extract:
5-year-old child following a tonsillectomy and adenoidectomy
Question 2 of 5
A nurse is caring for a 5-year-old child following a tonsillectomy and adenoidectomy. Which of the following findings should the nurse identify as an indication of hemorrhage?
Correct Answer: C
Rationale: The correct answer is C: Continuous swallowing. Following a tonsillectomy and adenoidectomy, continuous swallowing can indicate hemorrhage due to blood trickling down the throat. This can lead to an increase in the risk of airway obstruction and aspiration. Blood pressure and heart rate are within normal range for a child post-surgery. Flushing of the face is a common side effect of anesthesia and not necessarily indicative of hemorrhage.
Extract:
Female infant requiring urine collection bag
Question 3 of 5
A nurse is preparing to collect a urine specimen from a female infant using a urine collection bag. Which of the following actions should the nurse take?
Correct Answer: B
Rationale:
Correct
Answer: B
Rationale: Placing a snug-fitting diaper over the drainage bag helps secure the bag in place and prevents leakage. This method ensures a reliable collection of urine from the female infant without the risk of contamination or spillage. It also provides comfort and minimizes the chances of skin irritation.
Summary of Other
Choices:
A: Positioning the bag over the urethra and anus may increase the risk of contamination and is not the correct technique for collecting a urine specimen from a female infant.
C: Applying lidocaine gel is unnecessary and not recommended for urine collection using a bag in this scenario.
D: Stretching the perineum taut is not required and may cause discomfort or potential harm to the infant.
E, F, G: No additional choices provided.
Extract:
Toddler with oral ulcers due to chemotherapy
Question 4 of 5
A nurse is planning care for a toddler who has developed oral ulcers in response to chemotherapy. Which of the following actions should the nurse include in the plan of care?
Correct Answer: D
Rationale: The correct answer is D: Cleanse the gums with saline-soaked gauze. This is the best option as it promotes oral hygiene without causing further irritation. Routine oral care every 8 hours (option
A) may be too frequent and cause more discomfort. Moisten the mucosa with lemon glycerin swabs (option
B) can be irritating due to the acidity of lemon. Administering oral viscous lidocaine (option
C) is not recommended due to potential toxicity in children. Overall, cleansing the gums with saline-soaked gauze is gentle, effective, and minimizes the risk of further complications.
Extract:
Child with varicella
Question 5 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: A
Rationale: The correct answer is A: Initiate airborne precautions. Varicella, also known as chickenpox, is highly contagious through airborne transmission. By initiating airborne precautions, the nurse can help prevent the spread of the virus to other individuals. Assessing for Koplik spots (choice
B) is associated with measles, not varicella. Providing a warm blanket (choice
C) is not directly related to managing varicella. Administering aspirin for fever (choice
D) is contraindicated in children with varicella due to the risk of Reye's syndrome.