ATI RN
ATI Nur307 Pediatrics Quiz Questions
Extract:
Question 1 of 5
A nurse is teaching about nutrition to the guardian of a 2-year-old toddler. Which of the following statements should the nurse include in the teaching?
Correct Answer: A
Rationale: A 2-year-old requires about 1,000 to 1,400 calories daily to support growth and development.
Question 2 of 5
A nurse is admitting a child who has erythema infectiosum. Which of the following transmission-based precautions should the nurse initiate?
Correct Answer: A
Rationale: Erythema infectiosum is transmitted via respiratory droplets, requiring droplet precautions.
Question 3 of 5
A nurse is evaluating the pain level of a toddler who is cognitively impaired to a non-pharmacologic intervention. Which of the following pain scales should the nurse use to evaluate the toddler's pain level?
Correct Answer: D
Rationale: The FLACC scale (Face, Legs, Activity, Cry, Consolability) is appropriate for assessing pain in non-verbal or cognitively impaired toddlers as it evaluates behaviors indicating discomfort.
Question 4 of 5
A nurse is reviewing the complete blood count results for a 4-year-old child who is receiving treatment for acute lymphoblastic leukemia. Which of the following findings should indicate to the nurse that the treatment is having a therapeutic effect?
Correct Answer: B
Rationale: A WBC count of 15,000/mm3 suggests recovery from leukopenia, indicating a therapeutic response to leukemia treatment.
Extract:
Nurses' Notes: 0700: 7 year old client who weighs 18.1 kg (39.9 lb) admitted with a UTI. Child reports pain and burning upon urination and feeling like they need to go to the bathroom all the time. Child's guardian reports the client has been incontinent of urine the past 2 nights and that the urine has a very strong odor. Vital Signs: 0715: Temperature 38 C (100.4 F), Heart rate 80/min, Respiratory rate 22/min, Blood pressure 106/65 mm Hg. 0930: Temperature 38.4 C (101.1 F), Heart rate 90/min, Respiratory rate 23/min, Blood pressure 105/65 mm Hg. Provider Prescription: Sulfamethoxazole and trimethoprim 8 mg TMP/kg/day PO, Salicylic acid 20 mg/kg/dose every 4 hr as needed for pain and fever.
Question 5 of 5
For each of the following interventions, click to specify if the potential intervention is anticipated or contraindicated for the client.
| Intervention | Indicated | Contraindicated |
|---|---|---|
| Administer Sulfamethoxazole and trimethoprim | ||
| Advise child's guardian about the use of sunscreen | ||
| Administer salicylic acid for pain and fever | ||
| Ensure the child receives a maximum of 1,200 mL/day of fluid | ||
| Educate the child about proper perineal hygiene |
Correct Answer: A,B,E
Rationale: A: Sulfamethoxazole and trimethoprim treat the UTI. B: Sunscreen is advised due to photosensitivity from the antibiotic. E: Perineal hygiene prevents recurrent UTIs. Contraindicated: C: Salicylic acid risks Reye's syndrome. D: Fluid restriction is inappropriate; increased fluids help flush bacteria.