ATI RN
ATI RN Pediatric Nursing 2023 Exam 3 Questions
Extract:
Question 1 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: The correct answer is C: a toddler who has seasonal influenza. Droplet precautions are used for illnesses transmitted through respiratory secretions, such as influenza. Seasonal influenza is a contagious respiratory illness spread through droplets when an infected person coughs or sneezes. This precaution includes wearing a mask within close proximity to the child to prevent the spread of the virus.
Incorrect choices:
A: Pediculosis capitis (head lice) is spread through direct head-to-head contact, not respiratory secretions.
B: Viral conjunctivitis is an eye infection spread through direct contact with discharge from the eye, not respiratory droplets.
D: Hepatitis A is primarily spread through the fecal-oral route, not respiratory secretions.
Question 2 of 5
A nurse is caring for a 1-year-old child who has been hospitalized. Which of the following items in the child's room is a common source of health care-associated infection?
Correct Answer: B
Rationale: The correct answer is B: Bedside computer keyboard. The keyboard is a common source of healthcare-associated infections due to frequent use and potential contamination from various sources. Keyboards are often touched by multiple healthcare providers without proper cleaning, leading to the spread of pathogens. Unopened bottles of formula (
A) are typically sterile until opened. Disposable diapers (
C) are not a common source of infection if disposed of properly. Protective plastic gowns (
D) are used to prevent contamination rather than being a source of infection.
Question 3 of 5
A nurse is caring for a child who has epiglottitis due to an infection with Haemophilus influenzae type B. Which of the following actions should the nurse take? Select all that apply.
Correct Answer: C,D,E
Rationale: The correct actions are to monitor oxygen saturation (
C) due to potential airway compromise, begin droplet precautions (
D) to prevent spread of infection, and initiate IV access (E) for potential emergency treatment. Inspecting the epiglottis (
A) could trigger a spasm and worsen the airway obstruction. Obtaining a throat culture (
B) may not be necessary in the immediate management of epiglottitis.
Question 4 of 5
A nurse is reviewing safety measures with a group of parents to prevent burn injuries for toddlers. Which of the following safety measures should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Keep electrical wires hidden from view. This is important to prevent toddlers from touching or playing with exposed wires, reducing the risk of electrical burns. Hiding wires helps ensure a safe environment.
Incorrect Answers:
A: Setting the water heater too high can scald a child, increasing the risk of burns.
C: Encouraging outdoor activities during peak sun hours can lead to sunburn, not burn prevention.
D: Turning pot handles towards the front of the stove can still be accessible to curious toddlers, increasing the risk of burns.
Question 5 of 5
A nurse is providing teaching to the guardian of a 2-year-old child about typical toddler behavior. Which of the following behaviors should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Frequent negative responses.
Toddlers often exhibit negative responses as they are learning to express their independence and emotions. This behavior is typical as they navigate through their developmental stage. Resistant to routines (
A) is not typically seen in toddlers as they thrive on predictability. Less emotionally labile (
C) is not characteristic of toddlers, who often have intense emotions. Increased dependency (
D) is not a typical behavior for toddlers, as they are exploring their independence. Thus, the best choice is B as it aligns with the normal behavior of a 2-year-old child.