ATI RN
ATI RN Pediatric Nursing 2023 II Questions
Extract:
Question 1 of 5
A school nurse is assessing a 7-year-old student. The nurse should identify which of the following findings as a potential indicator of physical abuse?
Correct Answer: D
Rationale: The correct answer is D: Bruising around the wrists. This finding is concerning for physical abuse because bruises around the wrists are not commonly seen in accidental injuries. These bruises may indicate that the child was grabbed or restrained forcefully. It is crucial for the nurse to further assess the nature, location, and pattern of the bruising to determine if it raises suspicion of abuse. Abrasions on the knees (choice
A) are more likely to be related to normal childhood activities. Front deciduous teeth missing (choice
B) is a common occurrence in children due to natural tooth loss. Weight in the 45th percentile (choice
C) is within the normal range and does not specifically indicate physical abuse.
Question 2 of 5
A nurse is assessing a 6-month-old infant who has respiratory syncytial virus. The nurse should immediately report which of the following findings to the provider?
Correct Answer: A
Rationale: The correct answer is A: Tachypnea. Respiratory syncytial virus (RSV) can cause respiratory distress in infants. Tachypnea, or rapid breathing, is a concerning sign that indicates the infant is having difficulty breathing and may need immediate medical intervention. Reporting tachypnea promptly to the provider allows for timely assessment and appropriate treatment to prevent respiratory compromise.
Incorrect choices:
B: Coughing - While coughing is common in RSV, it is not as urgent as tachypnea in indicating respiratory distress.
C: Rhinorrhea - Runny nose is a common symptom of RSV but does not require immediate reporting as it is not a critical sign of distress.
D: Pharyngitis - Throat inflammation may occur with RSV but is not as urgent as tachypnea in indicating respiratory distress.
Question 3 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 4 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 5 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.