ATI LPN
ATI NS122 Pediatrics Monroe College NY PN Questions
Extract:
Question 1 of 5
The nurse knows further education is needed about reye syndrome when a mother states:
Correct Answer: C
Rationale: Children with Reye syndrome are admitted to the hospital: This statement is accurate. Children with Reye syndrome often require hospital admission for monitoring and supportive care.
Therefore, it does not indicate a need for further education. I will have my children immunized against varicella and influenza: This statement is also accurate. Vaccination against varicella (chickenpox) and influenza is recommended to prevent these illnesses. It does not indicate a need for further education. I will give aspirin to my child to treat a headache: This statement is concerning because giving aspirin to a child with Reye syndrome can worsen their condition. Aspirin use is contraindicated in children with viral illnesses due to the risk of Reye syndrome.
Therefore, this statement indicates a need for further education. I will make sure not to give my child any products containing aspirin: This statement is accurate. Avoiding products containing aspirin is essential to prevent the risk of Reye syndrome in children. It does not indicate a need for further education.
Question 2 of 5
A nurse is reviewing discharge instructions with a client who has pruritus following treatment for scabies. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Take a hot shower daily to relieve itching.' This instruction is not recommended because hot water can exacerbate itching and worsen the condition. Hot showers can strip the skin of its natural oils, leading to further dryness and irritation, which may aggravate the itching associated with scabies. 'Wear loose fitting clothing while you are experiencing itching.' This instruction is appropriate because loose-fitting clothing can help minimize friction and irritation on the skin affected by scabies. Tight clothing can exacerbate itching and discomfort, so wearing loose clothing can provide relief and allow the skin to breathe. 'Add fabric softener to linens when they are washed.' This instruction is not recommended because fabric softeners may contain chemicals or fragrances that can irritate the skin, especially for someone with pruritus or scabies. It's best to use gentle, fragrance-free laundry detergent to wash linens and clothing to minimize potential irritation. 'Use a soft bristle brush to gently rub the affected areas.' This instruction is not recommended because using a brush, even if it has soft bristles, can further irritate the skin and potentially spread the scabies mites to other areas of the body. It's best to avoid any abrasive or vigorous rubbing of the affected areas and instead focus on gentle cleansing and moisturizing techniques.
Question 3 of 5
A nurse is collecting data from a client who has contact dermatitis of the neck and upper chest. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Reports of exposure to a skin irritant: This finding is consistent with contact dermatitis, as it typically occurs due to exposure to irritants or allergens.
Therefore, it is an expected finding. Elevated temperature: Elevated temperature is not typically associated with contact dermatitis unless there is a secondary infection. It is not a typical finding in uncomplicated contact dermatitis. Denial of pruritus: Pruritus, or itching, is a common symptom of contact dermatitis. Clients with contact dermatitis often experience itching or discomfort in the affected area.
Therefore, denial of pruritus would be an unexpected finding. Reports of joint discomfort: Joint discomfort is not typically associated with contact dermatitis. Contact dermatitis primarily affects the skin and does not usually involve the joints.
Therefore, reports of joint discomfort would be an unexpected finding.
Question 4 of 5
A nurse is caring for a client who is experiencing a seizure. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Monitor the client's hemoglobin level: Monitoring the client's hemoglobin level is not relevant during a seizure. Seizures typically do not directly affect hemoglobin levels, so this action is not appropriate. Restrain the client's extremities: Restraint is generally not recommended during a seizure unless absolutely necessary for the safety of the client or others. Restraint can potentially cause injury to the client and increase agitation during the seizure. Place the client in a prone position: Placing the client in a prone (face-down) position during a seizure is not recommended. This position may increase the risk of airway obstruction and compromise the client's ability to breathe effectively. Record the time and length of the seizure: This is the correct answer. During a seizure, the nurse should prioritize ensuring the safety of the client and others. After ensuring safety, the nurse should document important details about the seizure, including the time it began and ended, as well as any observed symptoms or behaviors. This documentation can provide valuable information for the client's healthcare team and help guide future treatment decisions.
Question 5 of 5
The nurse knows further education is needed about reye syndrome when a mother states:
Correct Answer: C
Rationale: Children with Reye syndrome are admitted to the hospital: This statement is accurate. Children with Reye syndrome often require hospital admission for monitoring and supportive care.
Therefore, it does not indicate a need for further education. I will have my children immunized against varicella and influenza: This statement is also accurate. Vaccination against varicella (chickenpox) and influenza is recommended to prevent these illnesses. It does not indicate a need for further education. I will give aspirin to my child to treat a headache: This statement is concerning because giving aspirin to a child with Reye syndrome can worsen their condition. Aspirin use is contraindicated in children with viral illnesses due to the risk of Reye syndrome.
Therefore, this statement indicates a need for further education. I will make sure not to give my child any products containing aspirin: This statement is accurate. Avoiding products containing aspirin is essential to prevent the risk of Reye syndrome in children. It does not indicate a need for further education.