ATI RN
ATI RN Pediatric Nursing 2023 II Questions
Extract:
Question 1 of 5
A nurse is providing teaching to the parents of a school-age child newly diagnosed with a seizure disorder. The nurse should teach the parents to take which of the following actions during a seizure?
Correct Answer: B
Rationale: Placing the child in a prone position can obstruct the airway and increase the risk of aspiration. Clearing the area of hard objects helps prevent injury during a seizure. Inserting a tongue blade between the teeth can cause oral trauma and should be avoided. Minimizing movement of the limbs is not necessary during a seizure; the focus should be on ensuring safety and preventing injury.
Question 2 of 5
A nurse is providing teaching to the parents of a child who has impetigo. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: Impetigo is caused by bacteria, not viruses, so sealing soft toys in a plastic bag is unnecessary. Applying bactericidal ointment to lesions helps kill the bacteria causing impetigo and promotes healing. Soaking hairbrushes in boiling water is not typically necessary for the treatment of impetigo. Acyclovir is an antiviral medication used to treat herpes simplex virus infections, not bacterial infections like impetigo.
Question 3 of 5
A nurse is caring for a child who has sickle cell anemia. Which of the following findings is the priority for the nurse to report to the provider?
Correct Answer: D
Rationale: Kyphosis, or curvature of the spine, is not typically an urgent concern in sickle cell anemia. Constipation can occur but is not typically an urgent complication. Enuresis, or bedwetting, may be a concern but is not typically an urgent complication. Facial twitching could indicate neurological involvement or a stroke, which is a serious complication of sickle cell anemia and requires immediate attention.
Question 4 of 5
A nurse is caring for a 4-year-old child who has meningitis and is receiving gentamicin. Which of the following laboratory values should the nurse report to the provider?
Correct Answer: C
Rationale: The creatinine level is within the normal range. The BUN level is within the normal range. An elevated creatinine level suggests impaired kidney function, which could be a sign of nephrotoxicity from gentamicin. The BUN level is within the normal range.
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: C
Rationale: Pediculosis capitis (head lice) does not require droplet precautions. Viral conjunctivitis (pink eye) is typically spread through direct contact or contact with contaminated surfaces, not droplets. Seasonal influenza is a respiratory illness that can spread through droplets when the infected person coughs or sneezes, necessitating droplet precautions. Hepatitis A is primarily spread through the fecal-oral route and does not require droplet precautions.