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.
| 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: A. Salicylic acid is contraindicated for children under 12 years old because it can cause Reye's syndrome, a rare but serious condition that affects the brain and liver. B. Sulfamethoxazole and trimethoprim is an antibiotic that is commonly used to treat UTIs caused by bacteria such as E. coli. It is anticipated for this client because it can help clear the infection and reduce the symptoms. C. Proper perineal hygiene is important for preventing UTIs, especially in girls who have a shorter urethra than boys. The nurse should educate the child about wiping from front to back after using the toilet, avoiding bubble baths and scented products, and changing underwear daily. D. Sunscreen is advised for clients taking sulfamethoxazole and trimethoprim because this medication can increase the sensitivity of the skin to sunlight and cause sunburns or rashes.
Extract:
Question 2 of 5
A nurse is preparing to administer immunizations to a 3-month-old infant. Which of the following is an appropriate action for the nurse to take to deliver atraumatic care?
Correct Answer: B
Rationale: Injecting the immunizations into the deltoid muscle may be appropriate for older children or adults but not for infants. Providing a pacifier coated with an oral sucrose solution has been shown to reduce pain and distress during injections in infants, promoting atraumatic care. A 20-gauge needle may cause more pain and tissue trauma in infants compared to a smaller gauge needle. EMLA cream is not typically recommended for immunizations in infants as it requires time to take effect and may not provide adequate pain relief during the procedure.
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: Impetigo is caused by bacteria, not viruses, so sealing soft toys in a plastic bag is unnecessary. Applying bactericidal ointment to lesions helps kill the bacteria causing impetigo and promotes healing. Soaking hairbrushes in boiling water is not typically necessary for the treatment of impetigo. Acyclovir is an antiviral medication used to treat herpes simplex virus infections, not bacterial infections like impetigo.
Question 4 of 5
A nurse is reviewing the laboratory results of a child who was recently admitted for suspected rheumatic fever. The nurse should identify that which of the following laboratory tests can contribute to confirming this diagnosis? Select all that apply.
Correct Answer: B,C,D
Rationale: A. Partial thromboplastin time (PTT) is not typically used in the diagnosis of rheumatic fever. B. C-reactive protein (CRP) is elevated in cases of inflammation and can help confirm the diagnosis of rheumatic fever. C. Erythrocyte sedimentation rate (ESR) is another marker of inflammation that can be elevated in rheumatic fever. D. Antistreptolysin O (ASO) titer measures antibodies against streptolysin O produced by Group A Streptococcus, which can indicate recent streptococcal infection, contributing to the diagnosis of rheumatic fever. E. Blood urea nitrogen (BUN) is not directly related to the diagnosis of rheumatic fever.
Question 5 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: B
Rationale: Preparing for a change in all routines may cause unnecessary anxiety for the child. Providing a doll allows the child to imitate parental behaviors, fostering a sense of involvement and understanding. Simply informing the child about a new playmate may not adequately prepare them for the arrival of a sibling. Waiting for the newborn to come home before transitioning the older child from a crib to a bed may not be necessary and could delay the transition unnecessarily.