ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
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:
Correct Answer: B. Scabies is contagious; treating close contacts prevents reinfestation. A. Boiling is for lice, not scabies. C. Petroleum jelly isn’t treatment; scabicides are needed. D. Ketoconazole is for fungal infections, not scabies.
Extract:
Nurses notes 0930: Parent presents child to provider's office. Parent reports the child has had a fever for 2 days and that the child has cried more than usual. Parent also reports the child has had a decreased appetite for the last 24 hr. Child febrile and lethargic. 0945: Notified provider of parent reports and child's fever. New prescriptions received. 1000: Urine sample obtained via sterile straight catheter.
Question 2 of 5
The child is at risk for developing ___ and ___.
Correct Answer: A,B
Rationale:
Correct Answer: Dropdown Group 1: pyelonephritis, Dropdown Group 2: renal scarring. Given the clinical presentation and the context, the most appropriate words to fill in the blanks are 'pyelonephritis' and 'renal scarring.'
Rationale: 1. Pyelonephritis: The child presents with a fever and lethargy, which are common signs of a urinary tract infection (UTI). The use of a sterile straight catheter to obtain a urine sample suggests that the healthcare provider is investigating a potential UTI, which in children can progress to pyelonephritis if not promptly treated. 2. Renal scarring: If pyelonephritis occurs, it can lead to renal scarring, especially in young children. Early diagnosis and treatment of UTIs are crucial to prevent renal scarring.
Extract:
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 Prescriptions: 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 3 of 5
For each the following interventions, click to specify if the potential intervention is anticipated or contraindicated for the client.
| Intervention | Anticipated | Contraindicated |
|---|---|---|
| Educate the child about proper perineal hygiene. | ||
| Advise child's guardian about the use of sunscreen. | ||
| Administer salicylic acid for pain and fever. | ||
| Administer sulfamethoxazole and trimethoprim. | ||
| Ensure the child receives a maximum of 1,200 mL/day of fluid. |
Correct Answer: A: Anticipated, B: Contraindicated, C: Contraindicated, D: Anticipated, E: Contraindicated
Rationale: A. Anticipated: Hygiene prevents UTI recurrence. B. Contraindicated: Sunscreen isn't UTI-related. C. Contraindicated: Salicylic acid risks Reye's syndrome. D. Anticipated: Antibiotic treats UTI. E. Contraindicated: Fluid restriction worsens UTI; hydration is key.
Extract:
Newly admitted child with cystic fibrosis
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: B
Rationale: Physical therapy aids mucus clearance and lung function, a priority in cystic fibrosis. A. Dietitian is important but secondary to respiratory needs initially. C. Speech therapy isn't primary unless swallowing issues exist. D. Occupational therapy isn't a key initial focus.
Extract:
Four children on a pediatric unit
Question 5 of 5
A nurse on a pediatric unit is caring for four children. The nurse should use droplet precautions for which of the following children?
Correct Answer: D
Rationale: Influenza spreads via droplets, requiring precautions. A. Lice is contact-based. B. Conjunctivitis is contact-based. C. Hepatitis A is fecal-oral.