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: [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 2 of 5
A nurse is caring for a child who has impetigo contagiosa that developed in the hospital. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Initiate contact isolation precautions. Impetigo contagiosa is highly contagious, caused by bacteria, and spreads through direct contact. By initiating contact isolation precautions, the nurse can prevent the spread of the infection to other patients and healthcare workers. Administering amphotericin B IV (choice
A) is not appropriate for impetigo contagiosa as it is a fungal infection treatment. Applying lidocaine ointment topically (choice
B) is not indicated as impetigo contagiosa requires antibiotic treatment. Reporting the disease to the state health department (choice
D) is important but not the immediate action needed to prevent transmission within the hospital setting.
Question 3 of 5
A nurse is assessing a 4-month-old infant during a well-baby visit. For which of the following findings should the nurse notify the provider?
Correct Answer: B
Rationale: The correct answer is B: Doll's eye reflex intact. This reflex is abnormal in infants over 3 months old and suggests a neurological issue. A: No head lag is normal at 4 months. C: Tears when crying is a normal response. D: Positive Babinski reflex is normal in infants under 2 years old. The Doll's eye reflex should disappear by 3 months, so its presence at 4 months is concerning.
Question 4 of 5
A nurse is obtaining informed consent for an adolescent who is scheduled for a cardiac catheterization. The adolescent's guardian states, 'I don't understand why they need to do this procedure.' Which of the following actions should the nurse take?
Correct Answer: B
Rationale:
Correct
Answer: B
Rationale: The nurse should explain the procedure to both the adolescent and their guardian to ensure they understand the purpose, risks, and benefits. This fosters informed decision-making. It is essential for the guardian to comprehend why the procedure is necessary to provide valid consent. Requesting assistance from the anesthesiologist (
A) may not address the guardian's concerns directly. Witnessing the adolescent's signature (
C) is important but does not address the guardian's lack of understanding. Notifying the provider (
D) is not the immediate action needed to address the guardian's concern.
Question 5 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: The correct answer is B, C, and D.
B: C-reactive protein (CRP) is elevated in inflammatory conditions like rheumatic fever, indicating active inflammation.
C: Erythrocyte sedimentation rate (ESR) is also elevated in inflammatory conditions, supporting the diagnosis of rheumatic fever.
D: Antistreptolysin O (ASO) titer is used to detect a recent streptococcal infection, which can trigger rheumatic fever.
Incorrect choices:
A: Partial thromboplastin time (PTT) is not specific to rheumatic fever.
E: Blood urea nitrogen (BUN) is not relevant for diagnosing rheumatic fever.