ATI RN
ATI Pediatrics Proctored Questions
Extract:
A child with impetigo
Question 1 of 5
A nurse is providing teaching to the parent of a child who has impetigo. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Apply bactericidal ointment to lesions. Impetigo is a bacterial skin infection, so applying a bactericidal ointment will help eliminate the bacterial source of the infection. This step is crucial in treating impetigo effectively.
A: Seal soft toys in a plastic bag for 14 days - This is not necessary as impetigo is spread through direct contact with the infected skin, not through toys.
B: Soak hairbrushes in boiling water for 10 min - While it's important to maintain good hygiene practices, impetigo is not typically spread through hairbrushes, so this step is not necessary for treating impetigo.
C: Administer acyclovir PO two times per day - Acyclovir is an antiviral medication used to treat viral infections like herpes, not bacterial infections like impetigo.
In summary, the correct answer is D because it directly addresses the bacterial infection causing
Extract:
An adolescent with major depressive disorder
Question 2 of 5
A nurse is caring for an adolescent who has major depressive disorder. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D: Ask the client if he is considering harming himself. This should be the first action because it assesses the client's safety. Suicidal ideation is a serious concern in major depressive disorder. Administering an antidepressant (
A) should come after assessing safety. Encouraging group therapy (
B) and assisting with ADLs (
C) are important but addressing safety is the priority.
Extract:
A school-age child with respiratory stridor, wheezing, and urticaria after IV medication
Question 3 of 5
A nurse in the emergency department is caring for a school-age child who has developed respiratory stridor, wheezing and urticaria after receiving an IV medication. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D: Administer epinephrine. This is the first action the nurse should take because the child is experiencing an anaphylactic reaction, indicated by stridor, wheezing, and urticaria. Epinephrine is the first-line treatment for anaphylaxis as it helps to reverse bronchoconstriction and vasodilation, improving respiratory distress and hypotension. Administering epinephrine promptly is crucial in preventing further deterioration and potentially saving the child's life. Administering methylprednisolone (choice
A) or a nebulized bronchodilator (choice
C) can be considered later, but epinephrine should be given first. Administering oxygen (choice
B) is important but not the priority in this situation.
Extract:
Identifying child abuse
Question 4 of 5
A charge nurse is teaching a group of nurses about identifying child abuse. Which of the following findings should the nurse identify as a potential indicator of child abuse?
Correct Answer: C
Rationale: The correct answer is C because a mother hesitating to comfort her 6-month-old infant can be an indicator of child abuse as it may suggest a lack of bonding and attachment between the mother and child. This lack of responsiveness can lead to emotional neglect, which is a form of child abuse. Other choices are less likely indicators of child abuse.
Choice A is more likely related to the toddler's behavior or fear of being examined.
Choice B is a common behavior in infants and is not necessarily indicative of abuse.
Choice D, bruises on a toddler's knees can be common in active children and may not always indicate abuse.
Extract:
A school-age child 1 hour postoperative following a tonsillectomy
Question 5 of 5
A nurse is caring for a school age child who is 1 hour postoperative following a tonsillectomy. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Discourage the child from coughing. Post-tonsillectomy, coughing can increase the risk of bleeding due to the disruption of the surgical site. By discouraging coughing, the nurse helps minimize this risk. Providing cranberry juice (
B) or maintaining the child in a supine position (
C) are not pertinent actions post-tonsillectomy. Administering analgesics on a schedule basis (
D) is important for pain management but is not directly related to preventing complications from coughing.