ATI RN
ATI RN Pediatric Nursing 2023 II Questions
Extract:
Question 1 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 2 of 5
A nurse is planning care for a child who has varicella. Which of the following interventions should the nurse plan to include?
Correct Answer: D
Rationale: Providing the child with a warm blanket can help keep the child comfortable during the course of the illness but initiating airborne precautions is best intervention required. Assessing the oral cavity for Koplik spots is not relevant for varicella, as Koplik spots are associated with measles. Administering aspirin for fever is contraindicated in children with varicella due to the risk of Reye's syndrome. The nurse should initiate airborne precautions, which include placing the child in a private room with negative air pressure, wearing a mask or respirator when entering the room, and limiting visitors and staff exposure.
Question 3 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.
Question 4 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.
Extract:
Nurses' Notes: The child's guardian states the child has been unable to sleep recently and has been very irritable. Guardian expresses concern about the child's atopic dermatitis worsening and the child scratching excessively, which results in the areas bleeding. Guardian states the child has a history of allergic rhinitis.
Question 5 of 5
Which of the following statements should the nurse plan to include in the discharge instructions for the child's guardian? Select all that apply.
Correct Answer: A,C,D,F,G
Rationale: A. Cutting and filing the child's fingernails frequently can help prevent scratching and further irritation of the skin. B. Atopic dermatitis is not contagious, so this statement is incorrect. C. Applying emollients (moisturizers) to the child's skin after bathing can help hydrate the skin and reduce itching. D. Using a mild detergent for the child's laundry can help minimize skin irritation. E. Pimecrolimus cream is a topical immunomodulator that may be used for atopic dermatitis, but the thick layer application is not typically recommended for children due to safety concerns. F. Applying gloves to the child's hands can prevent scratching and further damage to the skin. G. Atopic dermatitis often has periods of exacerbation (flare-ups) followed by periods of improvement.