ATI RN
ATI Nur307 Pediatrics Quiz Questions
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 1 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 2 of 5
A nurse is caring for a 1-week-old newborn who has hyperbilirubinemia and is being treated with phototherapy. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Monitoring the newborn's temperature every 2 hours ensures phototherapy is not causing overheating or hypothermia.
Question 3 of 5
A nurse is providing teaching to a parent of a child who has HIV. Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: C
Rationale: Annual tuberculosis testing is necessary for children with HIV due to increased risk of opportunistic infections.
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: D
Rationale: Keeping electrical wires hidden from view helps prevent toddlers from pulling or chewing on them, reducing the risk of electric burns or shocks.
Question 5 of 5
A nurse is assessing a preschool-age child who is in the immediate postoperative period following a tonsillectomy. Which of the following assessment findings is the priority?
Correct Answer: C
Rationale: Frequent swallowing after a tonsillectomy can indicate bleeding, a serious complication requiring immediate attention.