ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
A nurse is planning care for an infant who has a prescription for a Pavlik harness.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale:
Rationale: Option C is correct because massaging the skin under the straps daily helps improve circulation and prevent pressure sores. Lengthening the straps weekly (Option
A) is not necessary unless the harness is too tight. Positioning the diaper over the straps (Option
B) can cause friction and skin irritation. Applying lotion (Option
D) can create a moist environment and increase the risk of skin breakdown.
Extract:
Question 2 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.
Extract:
A nurse is providing teaching to a parent of a child who has HIV.
Question 3 of 5
Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I will ensure that my child is tested for tuberculosis every year." This statement indicates understanding of teaching because it shows the parent's awareness of the importance of regular testing for tuberculosis due to the child's condition. Testing for tuberculosis is crucial for early detection and treatment in immunocompromised individuals.
Choice A is incorrect because childhood immunizations do not need to be repeated once in remission.
Choice B is incorrect because the risk of transmission of HIV is not solely dependent on being on zidovudine for 2 weeks.
Choice D is incorrect because doubling medications without proper guidance can be harmful.
Extract:
Question 4 of 5
A nurse is caring for a child who is 2 hr postoperative. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Comparing pedal pulses is crucial post-lower extremity surgery to detect compromised circulation, a priority to prevent complications.
Question 5 of 5
A nurse is caring for a child who is receiving conditioning therapy for enuresis. Which of the following statements by the child's parent indicates the treatment is effective?
Correct Answer: D
Rationale: The correct answer is D because holding urine for about 15 minutes before going to the bathroom is an indication of improved bladder control, which is the goal of conditioning therapy for enuresis. This demonstrates that the child is developing the ability to delay urination, a key aspect of the treatment.
Choice A is incorrect because going to the bathroom immediately when the alarm goes off does not show improved bladder control.
Choice B is incorrect as drinking less may not necessarily indicate treatment effectiveness.
Choice C is incorrect as Kegel exercises are not typically part of conditioning therapy for enuresis.