ATI RN
ATI RN Pediatric Nursing 2023 II Questions
Extract:
Question 1 of 5
A nurse is providing teaching to the guardian of a 2-year-old child about typical toddler behavior. Which of the following behaviors should the nurse include?
Correct Answer: B
Rationale:
Toddlers thrive on routines and consistency, which provide them with security and predictability.
Toddlers are in a stage of development where they assert their independence and autonomy by saying 'no' or 'mine' to almost everything. This is a normal and healthy behavior that reflects their growing sense of self and identity.
Toddlers are typically emotionally labile, meaning they can experience rapid changes in mood and emotions.
Toddlers may display increased independence rather than increased dependency as they strive to assert their autonomy.
Question 2 of 5
A nurse is caring for a 1-week-old newborn who has hyperbilirubinemia and is being treated with phototherapy. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Checking the newborn's eyes every 8 hours is not necessary for the management of hyperbilirubinemia or phototherapy. Placing mittens on the newborn's hands is unrelated to the management of hyperbilirubinemia or phototherapy. Monitoring the newborn's temperature every 2 hours is essential during phototherapy because infants are at risk of hypothermia due to increased heat loss from the lights. Applying lotion to the newborn's skin is not recommended during phototherapy as it can interfere with the effectiveness of the lights.
Question 3 of 5
A nurse is reviewing the laboratory results of a child who was recently admitted for suspected rheumatic fever. The nurse should identify that which of the following laboratory tests can contribute to confirming this diagnosis? Select all that apply.
Correct Answer: B,C,D
Rationale: A. Partial thromboplastin time (PTT) is not typically used in the diagnosis of rheumatic fever. B. C-reactive protein (CRP) is elevated in cases of inflammation and can help confirm the diagnosis of rheumatic fever. C. Erythrocyte sedimentation rate (ESR) is another marker of inflammation that can be elevated in rheumatic fever. D. Antistreptolysin O (ASO) titer measures antibodies against streptolysin O produced by Group A Streptococcus, which can indicate recent streptococcal infection, contributing to the diagnosis of rheumatic fever. E. Blood urea nitrogen (BUN) is not directly related to the diagnosis of rheumatic fever.
Question 4 of 5
A nurse is caring for a child who has impetigo contagiosa that developed in the hospital. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Administering amphotericin B IV is not indicated for impetigo contagiosa, which is typically treated with topical antibiotics. Applying lidocaine ointment topically is not indicated for impetigo contagiosa and would not address the infection. Initiating contact isolation precautions is appropriate for impetigo contagiosa to prevent the spread of the infection to other patients and healthcare workers. Reporting the disease to the state health department may be necessary for certain communicable diseases but is not the immediate action required in this scenario.
Question 5 of 5
A nurse is providing teaching to the parent of a 10-month-old infant who is having difficulty eating. The parent is feeding their infant goat milk. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Warming goat's milk before feeding does not address the issue of nutritional adequacy or the potential allergenicity of goat's milk. Soy milk may not be suitable for infants under 12 months old due to potential allergenicity and nutritional concerns. Commercially prepared infant formula is the most appropriate option for infants who are having difficulty with breastfeeding or require an alternative to breast milk. Reinitiating breastfeeding may not be feasible or appropriate if the infant is already having difficulty eating.