ATI RN
ATI RN Pediatrics Nursing 2023 I Questions
Extract:
A nurse is caring for a preschooler who has a gastrostomy tube.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Use barrier ointments around the site. This is the appropriate action to prevent skin breakdown and irritation around the tube site. Barrier ointments create a protective layer between the skin and the tube, reducing friction and moisture-related skin damage.
Choice B is incorrect as hydrogen peroxide can be too harsh and may cause further skin irritation.
Choice C is incorrect as maintaining tension can lead to pressure ulcers.
Choice D is incorrect as transparent dressings may not provide adequate protection from friction and moisture.
Extract:
A nurse is planning care for a school-age child who has acute glomerulonephritis.
Question 2 of 5
Which of the following interventions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A because monitoring blood pressure every 4 hours is crucial in assessing the patient's cardiovascular status and detecting any potential complications in a timely manner. This intervention helps in early identification of hypertension or hypotension, guiding appropriate treatment adjustments. Increasing fluid consumption (
B) is generally beneficial but does not address a specific immediate need. Implementing a protein-restricted diet (
C) may be necessary for certain conditions but is not a priority in this scenario. Collecting and straining urine for sediment (
D) is important for specific renal assessments but does not address the primary concern of monitoring blood pressure.
Extract:
A school nurse is providing teaching to the guardian of a child who has pediculosis.
Question 3 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 an infant who has heart failure.
Question 4 of 5
Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Minimize the infant's environmental stimuli. This instruction is crucial for promoting infant sleep hygiene and reducing overstimulation. Excessive stimuli can disrupt the infant's sleep patterns, leading to sleep disturbances and irritability. By minimizing environmental stimuli, the infant is more likely to achieve restful sleep, which is essential for their growth and development.
Choice A (Place the infant in a supine position) is a safe sleep practice to reduce the risk of sudden infant death syndrome (SIDS), but it is not directly related to promoting sleep hygiene.
Choice B (Allow the infant to sleep through night feedings) is not recommended as infants often need to be fed during the night for proper nourishment and growth.
Choice D (Bathe the infant every day) is not necessary and can actually dry out the infant's skin, leading to irritation.
Extract:
A nurse is assessing a 12-year-old child who has asthma and states, 'I am frustrated about not being able to participate in sports.'
Question 5 of 5
Which of the following responses should the nurse make?
Correct Answer: D
Rationale: The correct response is D: "You can participate in sports if you use your rescue inhaler before practice or games." This answer is correct because using a rescue inhaler before physical activity can help prevent exercise-induced asthma symptoms. It is a common and effective strategy to manage asthma and allow individuals to engage in sports safely.
Choice A is incorrect as it suggests avoiding sports altogether, which is not necessary if asthma is well-controlled.
Choice B is incorrect because it dismisses the importance of addressing the specific issue of exercise-induced asthma.
Choice C is incorrect as solely using a peak flow meter does not provide direct protection against asthma symptoms during physical activity.