ATI RN
ATI RN Pediatrics Nursing 2023 I Questions
Extract:
A nurse is performing a dressing change for a child and notices that the gauze dressing is adhering to the wound bed.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Saturate the gauze dressing with sterile saline solution prior to removing it. This action helps prevent the dressing from sticking to the wound, minimizing trauma and pain during removal. Saturating the dressing with saline also helps maintain a moist wound environment, which is conducive to healing.
A: Applying firm pressure can cause trauma to the wound and disrupt the healing process.
B: Irrigating with hydrogen peroxide can be too harsh and may damage healthy tissue.
C: Pulling the dressing parallel to the skin can lead to unnecessary pain and potential damage to the wound bed.
Extract:
A nurse is admitting a school-age child who has osteomyelitis.
Question 2 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The nurse should first obtain a blood culture because it is crucial in identifying the causative organism in a suspected infection. This step helps guide appropriate antibiotic therapy promptly. Requesting a referral for physical therapy, administering IV antibiotics, and recording intake and output are important interventions, but obtaining a blood culture takes precedence in cases of suspected infection to ensure accurate and timely treatment.
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 caring for a toddler who received radiation therapy 2 years ago for a brain tumor.
Question 4 of 5
Which of the following should the nurse identify as a late adverse effect of the radiation therapy?
Correct Answer: D
Rationale: The correct answer is D: Short stature. Late adverse effects of radiation therapy typically manifest months to years after treatment. Radiation can affect bones and inhibit growth, leading to short stature. Mucosal ulceration (
A) and desquamation (
C) are early side effects, while nausea (
B) is a common acute side effect.
Therefore, they are not considered late adverse effects.
Choice E, F, and G are not provided.
Extract:
A nurse is assessing a school-age child who is receiving IV fluids to treat dehydration.
Question 5 of 5
Which of the following findings should indicate to the nurse that the fluid replacement therapy has been effective?
Correct Answer: A
Rationale: The correct answer is A: Capillary refill less than 2 seconds. This finding indicates effective fluid replacement therapy as it shows improved peripheral perfusion. A quick capillary refill time suggests that blood flow to the peripheral tissues is adequate, indicating proper circulation and hydration status. This is a direct and reliable indicator of fluid balance restoration.
Incorrect choices:
B: Elevated potassium levels indicate potential electrolyte imbalance, not fluid status.
C: Voiding less than 1 mL/kg/hr suggests inadequate renal perfusion, not necessarily improved fluid replacement.
D: Tachycardia can be a sign of hypovolemia or dehydration, not necessarily an indicator of effective fluid replacement.