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 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: The correct answer is C: Ataxia. Inhalation of gasoline can lead to central nervous system depression, resulting in ataxia, which is a lack of muscle coordination. Gasoline does not typically cause hypothermia, hyperactive reflexes, or pinpoint pupils. Hypothermia is more commonly associated with cold exposure, hyperactive reflexes are not a typical finding in gasoline inhalation, and pinpoint pupils are more indicative of opioid overdose.
Therefore, the nurse should expect ataxia as a key finding in an adolescent who has inhaled gasoline.
Question 3 of 5
A nurse in an emergency department is caring for a preschool-age child who has acute acetylsalicylic acid poisoning. Which of the following should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Hyperpyrexia. Acetylsalicylic acid poisoning can lead to metabolic acidosis, which can cause hyperpyrexia (extremely high fever). This is due to the toxic effects on the central nervous system. Neck vein distention (
A) is not typically associated with acetylsalicylic acid poisoning. Jaundice (
B) is more commonly seen in liver toxicity. Polyuria (
C) is not a typical symptom of acetylsalicylic acid poisoning. In summary, hyperpyrexia is the most likely manifestation of acute acetylsalicylic acid poisoning in a preschool-age child, making it the correct answer.
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 4 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:
Correct
Answer: A, C, D, F, G
Rationale:
A: Cutting and filing the child's fingernails frequently can prevent scratching and further irritation.
C: Applying emollients after bathing helps hydrate and protect the skin, reducing dryness and itching.
D: Using a mild detergent minimizes skin irritation and reduces the risk of exacerbating the condition.
F: Applying gloves to the child's hands can prevent scratching and protect the skin during activities.
G: Informing the guardian about occasional flare-ups prepares them for potential worsening of the condition.
Extract:
Question 5 of 5
A nurse is preparing to assess a 4-year-old child's visual acuity. Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: The correct answer is D: Use a tumbling E chart for the assessment. This is because a tumbling E chart is commonly used for testing visual acuity in young children as they may not yet know their letters. The chart consists of the letter 'E' facing in different directions, and the child is asked to point in the direction the 'E' is facing. This method helps assess visual acuity without the child needing to know letters.
A: Assessing both eyes together first, then separately may not be as effective in determining each eye's individual visual acuity.
B: Positioning the child 4.6 meters from the chart is the standard distance for adults, not for testing children's visual acuity.
C: Testing the child without glasses before testing with glasses may not provide an accurate assessment of the child's visual acuity with correction.