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: The correct answer is B: Apply bactericidal ointment to lesions. Impetigo is a bacterial skin infection, so applying a bactericidal ointment helps to kill the bacteria causing the infection. This step is crucial in treating impetigo and preventing its spread.
Choice A is incorrect because sealing soft toys is unnecessary for impetigo.
Choice C is incorrect as impetigo is not spread through hairbrushes.
Choice D is incorrect because acyclovir is used to treat viral infections, not bacterial infections like impetigo.
Question 2 of 5
A nurse is assessing a school-age child who has heart failure and is taking furosemide. Which of the following findings should the nurse identify as an indication that the medication is effective?
Correct Answer: B
Rationale: The correct answer is B: A decrease in peripheral edema. Furosemide is a loop diuretic that works by increasing urine output, reducing fluid retention, and decreasing edema in patients with heart failure.
Therefore, if the medication is effective, the nurse should expect to see a reduction in peripheral edema as a result of the decreased fluid volume in the body.
Choices A, C, and D are incorrect because an increase in potassium levels, a decrease in cardiac output, and an increase in venous pressure are not expected outcomes of furosemide therapy and would actually indicate an ineffective treatment or potential complications.
Question 3 of 5
A nurse is caring for an infant who has heart failure and vomited following administration of digoxin. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Administer the next dose as prescribed. Vomiting after digoxin administration does not necessarily indicate toxicity. It is crucial to adhere to the prescribed dosing schedule to maintain therapeutic levels. Skipping a dose can lead to suboptimal treatment. Mixing with formula (
A) can affect absorption, giving an antiemetic (
B) is unnecessary if vomiting is a one-time occurrence, and increasing fluids (
C) may worsen heart failure.
Question 4 of 5
A nurse is teaching a group of parents about childhood immunizations. The nurse should identify that infants should receive the first dose of which of the following immunizations at 12 months of age?
Correct Answer: B
Rationale: The correct answer is B: Varicella. At 12 months, infants should receive the first dose of the Varicella vaccine to protect against chickenpox. This timing is crucial as chickenpox can be severe in young children. A: Inactivated polio virus is typically given at 2 months, 4 months, 6-18 months, and 4-6 years. C: Human papillomavirus vaccine is usually given to adolescents around 11-12 years. D: Hepatitis B vaccine is given at birth, 1-2 months, and 6-18 months.
Therefore, B is the correct choice for the 12-month immunization schedule.
Question 5 of 5
A nurse is providing instructions about a 24-hr urine collection to an adolescent client. Which of the following should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Discard the first voided specimen. This is because the first voided specimen may contain substances that have accumulated overnight and are not representative of the 24-hour collection. It is important to start the collection after discarding the first void and then collect all subsequent voids over the next 24 hours.
Choice B is incorrect as voiding every hour is not necessary for a 24-hour urine collection.
Choice C is incorrect because cleansing with a povidone-iodine solution is not typically required for a urine collection.
Choice D is incorrect because saving the final specimen in a separate container is unnecessary and may lead to confusion.