ATI RN
ATI RN Pediatric Nursing 2023 II Questions
Extract:
Question 1 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: A
Rationale: A child with HIV is at increased risk of developing tuberculosis and should be screened annually. This is incorrect because the risk of transmission does not depend on the duration of zidovudine therapy, but on the viral load and the exposure to body fluids. Doubling medications is not a standard practice in HIV management and may lead to medication errors or adverse effects. Childhood immunizations are important for children with HIV, but they may need to be adjusted based on the child's immune status and treatment regimen, not just during remission.
Question 2 of 5
A school nurse is assessing a 7-year-old student. The nurse should identify which of the following findings as a potential indicator of physical abuse?
Correct Answer: D
Rationale: Abrasions on the knees could result from normal childhood activities and may not indicate physical abuse. Front deciduous teeth missing could be due to normal tooth loss. Weight in the 45th percentile is within a normal range and does not necessarily indicate physical abuse. Bruising around the wrists is concerning for physical abuse, especially in a pattern consistent with restraining or gripping.
Question 3 of 5
A nurse is caring for a client who is postoperative following placement of a halo vest to manage a cervical vertebral fracture. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The nurse should not encourage flexion and extension of the neck, as this could cause further injury or damage to the spinal cord. The nurse should reposition the client using a turning sheet to prevent skin breakdown and maintain alignment of the spine. The nurse should assess the pin sites for infection at least once a day, not every other day. The nurse should not tighten the screws on the halo device, as this could cause pressure ulcers or nerve damage.
Question 4 of 5
A nurse is assessing a child who is 2 hr postoperative following a cardiac catheterization and finds the dressing is saturated with blood. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: This is the first step to control bleeding and prevent further blood loss. Monitoring the distal pulse is important, but controlling bleeding takes precedence. Vital signs can wait momentarily until the bleeding is under control. Reinforcing the dressing may be necessary, but controlling bleeding is the immediate priority.
Question 5 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.