ATI RN
ATI RN Pediatric Nursing 2023 Exam 3 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
The nurse is planning care for the client. For each of the following interventions, click to specify if the potential intervention is anticipated or contraindicated for the client.
| Intervention | Anticipated |
|---|---|
| Educate the child about proper perineal hygiene | |
| Administer sulfamethoxazole and trimethoprim | |
| Administer salicylic acid for pain and fever | |
| Ensure the child receives a maximum of 1,200 mL/day of fluid | |
| Advise child's guardian about the use of sunscreen |
Correct Answer: A,B,E
Rationale: A. Proper perineal hygiene is essential in preventing recurrent urinary tract infections. Teaching the child about proper hygiene practices is important for preventing future UTIs. B. Sulfamethoxazole and trimethoprim are antibiotics commonly used to treat urinary tract infections. Administering the prescribed antibiotic is appropriate for treating the UTI. C. Salicylic acid (aspirin) is contraindicated in children with viral infections due to the risk of Reye's syndrome, a rare but serious condition. Since the child has a fever, which is likely due to the UTI, salicylic acid should not be given. D. Fluid intake should be encouraged to help flush out the bacteria causing the UTI. Restricting fluid intake is not appropriate in this situation. E. Advising the child's guardian about the use of sunscreen is appropriate, especially if the child will be outdoors. This intervention is not directly related to the UTI but is generally important for the child's overall health and well-being.
Extract:
Question 2 of 5
A nurse is providing teaching to the guardian of an 11-month-old infant who has acute diarrhea. Which of the following food items should the nurse instruct the parent to provide to the infant?
Correct Answer: A
Rationale: A. Oral electrolyte solution helps to prevent dehydration and maintain electrolyte balance in infants with acute diarrhea. B. Applesauce may worsen diarrhea due to its high fiber content and should be avoided initially. C. White grape juice may worsen diarrhea due to its high sugar content and lack of electrolytes. D. Chicken soup may not provide the necessary electrolytes and may contain ingredients that are difficult for an infant with acute diarrhea to digest.
Question 3 of 5
A nurse is preparing to administer an IM injection to a 3-year-old child. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: A. Offering a prize for not crying may inadvertently suggest to the child that crying is expected and rewarded, potentially increasing anxiety. B. This statement may not provide adequate information to the child about the procedure and may not alleviate anxiety. C. While this statement attempts to minimize the sensation of pain, it may not provide enough reassurance or information about the procedure. D. Allowing the child to choose which leg they receive the injection in empowers them and gives them a sense of control, which can help reduce anxiety and make the experience less stressful.
Question 4 of 5
A nurse is caring for a 1-year-old child who has been hospitalized. Which of the following items in the child's room is a common source of health care-associated infection?
Correct Answer: B
Rationale: A. Unopened bottles of formula are not typically a source of healthcare-associated infection. B. Bedside computer keyboards can harbor various pathogens and are commonly touched by multiple individuals without thorough cleaning, making them a common source of healthcare-associated infections. C. Disposable diapers, if properly disposed of and not reused, are not typically a source of healthcare-associated infection. D. Protective plastic gowns, if used appropriately, are not typically a source of healthcare-associated infection.
Question 5 of 5
A nurse is planning care for a preschooler who has autism spectrum disorder. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: A. Maintaining extended eye contact may be uncomfortable or overwhelming for a child with autism spectrum disorder (AS
D) and may not be an appropriate intervention. B. Establishing a reward system can help reinforce positive behaviors and encourage desired outcomes in children with ASD. C. Engaging in cooperative play may be challenging for a child with ASD due to difficulties with social interaction and communication. D. Holding the child during assessments may cause distress or discomfort for a child with ASD and may not be necessary for the assessment process.