ATI RN
ATI Nur307 Pediatrics Quiz Questions
Extract:
Question 1 of 5
A nurse is teaching the guardian of a newborn about how to prepare their 3-year-old child to meet their new sibling. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: Providing a doll for the older child to imitate parental behaviors helps them feel included and prepared for their new sibling, encouraging positive sibling interaction.
Question 2 of 5
A nurse is caring for a child who has impetigo contagiosa that developed in the hospital. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Impetigo is highly contagious, and contact isolation precautions are necessary to prevent its spread to other patients and healthcare providers.
Extract:
History and Physical: School-age child admitted, diagnosed with cystic fibrosis at 3 months of age, has experienced failure to thrive, and has chronic obstructive pulmonary disease. The child presents with wheezing, rhonchi, paroxysmal cough, and dyspnea. The parent reports large, frothy, foul-smelling stools. The child has deficient levels of vitamin A, D, E, and K. Barrel-shaped chest, Clubbing of the fingers bilaterally, Respiratory rate 40/min with wheezing and rhonchi noted bilaterally, dyspnea, and paroxysmal cough. Vital Signs: Temperature 38.4° C (101.1° F), Heart rate 100/min, Respiratory rate 40/min, Blood pressure 100/57 mm Hg. Laboratory Results: Sputum culture positive for Pseudomonas aeruginosa, Stool analysis positive for presence of fat and enzymes, Chest x-ray indicates obstructive emphysema, WBC count 20,000/mm3 (5,000 to 10,000/mm3).
Question 3 of 5
A nurse is reviewing the child's medical record. Which of the following medications should the nurse expect the provider to prescribe or reconcile from the child's home medication list? Select all that apply.
Correct Answer: B,D,E
Rationale: B: Dornase alfa is used to improve respiratory function by reducing mucus viscosity in cystic fibrosis. D: Water-soluble forms of vitamins A, D, E, and K are prescribed to address deficiencies due to malabsorption. E: Pancreatic lipase is necessary for pancreatic insufficiency to improve nutrient digestion and absorption.
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 4 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.
Extract:
Question 5 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: C
Rationale: Varicella requires airborne precautions due to transmission through respiratory droplets and aerosols.