ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
A nurse is caring for a child who has epiglottitis due to an infection with Haemophilus influenzae type B.
Question 1 of 5
Which of the following actions should the nurse take? Select all that apply.
Correct Answer: C,D,E
Rationale: The correct actions for the nurse to take are C, D, and E. Beginning droplet precautions is essential to prevent the spread of respiratory infections. Monitoring oxygen saturation is crucial to assess respiratory function. Initiating IV access ensures access for emergency medication administration. Obtaining a throat culture (
A) is not necessary without signs of infection. Inspecting the epiglottis (
B) is not within the nurse's scope of practice.
Extract:
A nurse is assessing a school-age child who is receiving prednisolone.
Question 2 of 5
For which of the following adverse effects should the nurse monitor?
Correct Answer: B
Rationale: The correct answer is B: Prolonged wound healing. Nurses should monitor for this adverse effect because it can indicate impaired tissue repair, which can lead to infection or delayed recovery. Hypotension (
A) is a common side effect of certain medications but is not specific to wound healing. Renal failure (
C) and Stevens-Johnson syndrome (
D) are serious adverse effects that require monitoring, but they are not directly related to wound healing. Other choices are not provided, but focusing on wound healing is crucial for patient recovery.
Extract:
Question 3 of 5
A nurse is admitting a child who has erythema infectiosum. Which of the following transmission-based precautions should the nurse initiate?
Correct Answer: A
Rationale: The correct answer is A: Droplet precautions. Erythema infectiosum, also known as Fifth disease, is primarily transmitted through respiratory secretions. Droplet precautions are necessary to prevent the spread of the virus through droplets when the child coughs or sneezes. This precaution includes wearing a mask and ensuring proper hand hygiene.
Other choices are incorrect because:
B: Airborne precautions are for diseases transmitted through small droplet nuclei that remain suspended in the air for long periods, such as tuberculosis.
C: Contact precautions are for diseases spread by direct contact with an infected person or surfaces, like MRSA.
D: Protective environment precautions are used for immunocompromised patients to protect them from environmental pathogens.
Question 4 of 5
A nurse is planning care for a child who has varicella. Which of the following interventions should the nurse plan to include?
Correct Answer: C
Rationale: The correct answer is C: Initiate airborne precautions. Varicella, commonly known as chickenpox, is highly contagious and spreads through airborne droplets. By initiating airborne precautions, the nurse helps prevent the transmission of the virus to others. Providing a warm blanket (
A) may be comforting but does not directly address the contagious nature of varicella. Assessing for Koplik spots (
B) is related to measles, not varicella. Administering aspirin for fever (
D) is contraindicated in children with varicella due to the risk of Reye's syndrome.
Extract:
A nurse is caring for a child who has impetigo contagiosa that developed in the hospital.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Initiate contact isolation precautions. This is the appropriate action as it helps prevent the spread of infectious diseases, ensuring the safety of both patients and healthcare workers. Contact isolation is indicated for diseases that spread through direct contact, such as MRSA or C. difficile. Administering amphotericin B IV (choice
A) is not the immediate action needed without knowing the specific condition of the patient. Applying lidocaine ointment topically (choice
C) is not relevant to preventing the spread of infectious diseases. Reporting the disease to the state health department (choice
D) is important but not the initial action to take for immediate patient care.