ATI RN
ATI RN Pediatric Nursing 2023 II 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.
Question 1 of 5
The nurse is planning care for the client. For each the following interventions, click to specify if the potential intervention is anticipated or contraindicated for the client.
Correct Answer: B,C,D
Rationale: [0, 1, 1, 1]
For the given scenario, the correct interventions are administering sulfamethoxazole and trimethoprim , educating the child about proper perineal hygiene (
C), and advising the child's guardian about sunscreen use (
D). Administering salicylic acid (
A) is contraindicated as it can cause Reye's syndrome in children recovering from viral infections. This intervention should be avoided. The child may not need sulfamethoxazole and trimethoprim, as it may not be indicated for their condition, making it contraindicated. However, educating the child about perineal hygiene is always beneficial for their health and well-being. Advising the child's guardian about sunscreen is also important for protecting the child from harmful UV rays and preventing skin damage.
Question 2 of 5
The nurse is planning care for the client. For each the following interventions, click to specify if the potential intervention is anticipated or contraindicated for the client.
| Potential Intervention | Indicated | Contraindicated |
|---|---|---|
| Administer salicylic acid for pain and fever. | ||
| Administer sulfamethoxazole and trimethoprim. | ||
| Educate the child about proper perineal hygiene. | ||
| Advise child's guardian about the use of sunscreen. |
Correct Answer: B,C,D
Rationale: [0, 1, 1, 1]
For the given scenario, the correct interventions are administering sulfamethoxazole and trimethoprim , educating the child about proper perineal hygiene (
C), and advising the child's guardian about sunscreen use (
D). Administering salicylic acid (
A) is contraindicated as it can cause Reye's syndrome in children recovering from viral infections. This intervention should be avoided. The child may not need sulfamethoxazole and trimethoprim, as it may not be indicated for their condition, making it contraindicated. However, educating the child about perineal hygiene is always beneficial for their health and well-being. Advising the child's guardian about sunscreen is also important for protecting the child from harmful UV rays and preventing skin damage.
Extract:
Question 3 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 display frequent negative responses as they are exploring their independence and testing boundaries. It is a normal part of their development.
Choice A is incorrect as toddlers typically thrive on routines for predictability.
Choice C is incorrect as toddlers are known for their emotional lability, having quick and intense mood changes.
Choice D is incorrect as toddlers are in a stage where they are developing autonomy and independence, not increased dependency.
Question 4 of 5
A nurse is providing teaching to the parent of a 10-month-old infant who is having difficulty eating. The parent is feeding their infant goat milk. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Offer commercially prepared formula. This is the best option because goat milk is not recommended for infants under 1 year old due to its high protein and mineral content, which can strain the infant's kidneys. Commercially prepared formula is specifically designed to meet the nutritional needs of infants and is a safer and more appropriate choice. Warming the goat's milk (choice
A) does not address the underlying issue of nutritional inadequacy. Switching to soy milk (choice
B) is not recommended as a first-line alternative to goat milk. Reinitiating breastfeeding (choice
D) may not be feasible or desired by the parent and does not address the immediate nutritional concerns.
Question 5 of 5
A nurse is assessing a 7-year-old child who has diabetes mellitus. Which of the following findings should the nurse identify as a manifestation of hypoglycemia?
Correct Answer: B
Rationale: The correct answer is B: Shakiness. In hypoglycemia, the body's blood sugar level drops too low, leading to symptoms like shakiness due to the release of stress hormones like adrenaline. Increased capillary refill (
A) is not associated with hypoglycemia. Thirst (
C) is more commonly seen in hyperglycemia. Decreased appetite (
D) is not a typical manifestation of hypoglycemia in a child with diabetes mellitus.