ATI RN
ATI RN Pediatrics Nursing 2023 I Questions
Extract:
A nurse is transporting a 12-year-old child in a wheelchair. The child begins to experience a tonic-clonic seizure.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct action for the nurse to take is D: Move the child to the floor. This is because moving the child to the floor ensures a safe environment in case of a fall or seizure. Inserting an oral airway (
A) may not be necessary if the child is not in respiratory distress. Applying soft restraints (
B) can escalate the situation and may not be indicated unless absolutely necessary. Placing a pillow under the child's knees (
C) is not a priority in this situation.
Extract:
A school nurse is providing teaching to the guardian of a child who has pediculosis.
Question 2 of 5
Which of the following statements by the guardian indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B. The statement "I will place hairbrushes, combs, and hair accessories in boiling water for 10 minutes" demonstrates an understanding of the teaching because it shows awareness of the importance of disinfecting items to prevent the spread of infection. Boiling water is an effective method to kill germs and bacteria. This approach aligns with the need for thorough cleaning and disinfection in cases of contagious conditions like lice infestation.
Choices A, C, and D are incorrect because they do not directly address the need for disinfection to prevent the spread of infection.
Choice A focuses on sealing items, which may not effectively kill germs.
Choice C mentions washing clothing and bedding but does not address the need to disinfect items like hairbrushes and combs.
Choice D mentions using medicated shampoo but does not cover the importance of disinfecting items to prevent reinfestation.
Extract:
A nurse is providing teaching to the guardian of a school-age child who has acute diarrhea.
Question 3 of 5
Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Administer oral hydration solution after each diarrheal stool. This instruction is crucial to prevent dehydration caused by diarrhea. Oral rehydration solutions help replace lost fluids and electrolytes.
Choice A is incorrect as broth alone may not provide adequate electrolyte replacement.
Choice B is incorrect as carbonated beverages can worsen diarrhea.
Choice C is incorrect as the BRAT diet is outdated and may lack necessary nutrients.
Extract:
Nurses' Notes Day 1, 1020: Child is a direct admit from a pediatric clinic with fever, chills, irritability for 2 days, prior URI 2 weeks ago, no prior conditions, fully immunized. 1030: Child reports nausea, headache (7/10), lethargic, nuchal rigidity, cervical lymph slightly enlarged, capillary refill 4 seconds.
Question 4 of 5
A nurse is admitting an 8-year-old child to the pediatric unit. The nurse suspects the child has bacterial meningitis. Select words from the choices to fill in each blank in the following sentence: The child is at greatest risk for developing ___ and ___.
Correct Answer: A
Rationale:
Rationale: The correct answer is A: Disseminated intravascular coagulation and hydrocephalus. In bacterial meningitis, the inflammatory response can lead to disseminated intravascular coagulation, causing widespread blood clotting and potential bleeding. Additionally, inflammation in the brain can obstruct the flow of cerebrospinal fluid, leading to hydrocephalus.
Incorrect
Choices:
B: Hypothermia and seizures - While seizures can occur in bacterial meningitis, hypothermia is not a common complication.
C: Sepsis and respiratory failure - While sepsis can occur, it is not the primary risk in bacterial meningitis. Respiratory failure is not a common complication.
D: Shock and hearing loss - Shock is not a common complication of bacterial meningitis, and while hearing loss can occur, it is not the primary risk in this case.
Extract:
A nurse is planning a staff in-service about infection control measures to prevent the spread of influenza in school-age children.
Question 5 of 5
Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: "Wear a face mask when working within 3 feet of a child who is infected." This instruction is important in preventing the spread of infectious diseases like influenza. Wearing a face mask helps to reduce the risk of inhaling respiratory droplets containing the virus. It is a crucial infection control measure for healthcare workers to protect themselves and others.
Choice B is incorrect because administering antibacterial medication is not the standard treatment for influenza, which is caused by a virus, not bacteria.
Choice C is incorrect as children are typically considered infectious for around 5-7 days, not 14 days.
Choice D is incorrect as the influenza vaccine is typically administered annually, not every 6 months.