ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
The RN reviews therapeutic and nontherapeutic communication techniques with a group of nursing students.
Question 1 of 5
Which of the following demonstrates the use of therapeutic communication techniques?
Correct Answer: B
Rationale: The correct answer is B because it demonstrates active listening and empathy by asking the patient to physically demonstrate a task, promoting understanding and trust.
Choice A lacks focus on the patient's experience.
Choice C is dismissive and lacks empathy.
Choice D offers reassurance but lacks active listening.
Choices E, F, and G are not provided.
Extract:
Question 2 of 5
A nurse is caring for a 1-year-old child who has been hospitalized. Which of the following items in the child's room is a common source of health care-associated infection?
Correct Answer: D
Rationale: The correct answer is D: Bedside computer keyboard. This is a common source of healthcare-associated infections due to frequent touch by multiple individuals without proper disinfection. Keyboards can harbor bacteria and viruses, increasing the risk of cross-contamination. Disposable diapers (
A) are single-use and not typically associated with infections. Protective plastic gowns (
B) are worn to prevent contamination, not cause it. Unopened bottles of formula (
C) are sterile until opened, posing minimal infection risk. The keyboard (
D) is the most likely source of infection due to its constant use and lack of proper cleaning.
Extract:
A nurse is providing teaching to the guardian of an 11-month-old infant who has acute diarrhea.
Question 3 of 5
Which of the following food items should the nurse instruct the parent to provide to the infant?
Correct Answer: B
Rationale: The correct answer is B: Oral electrolyte solution. Infants are at risk of dehydration, especially during illnesses like diarrhea. Oral electrolyte solution helps replace lost fluids and electrolytes. White grape juice (
A) and applesauce (
D) may worsen diarrhea due to their high sugar content. Chicken soup (
C) is nutritious but may not provide the necessary electrolytes. Providing a detailed rationale helps guide the parent in making the best choice for the infant's health.
Extract:
Nurses' Notes (0800 hrs): The client's guardian reports that the child has been unable to sleep recently and has been very irritable. The guardian expresses concern about the child's skin condition worsening and the child scratching excessively, which results in the areas bleeding. The guardian states the child has a history of allergic rhinitis. The child appears alert and responsive but frequently scratches at the affected areas. The guardian mentions that the child has been using a new laundry detergent recently. The child has been given diphenhydramine 10 mg PO for itching. The guardian is worried about the potential for infection due to the open sores; Vital Signs (0800 hrs): Temperature: 37.2°C (99°F), Heart rate: 110/min, Respiratory rate: 22/min, Blood pressure: 100/60 mmHg; Physical Examination Results (0800 hrs): Generalized small clusters of reddish, scaly patches with lichenifications and depigmentation on the child's bilateral upper and lower extremities. The affected areas are dry and rough to the touch. Some areas show signs of excoriation and minor bleeding. No signs of systemic infection observed. The child appears to be in mild distress due to itching; Medication Administration Record: Diphenhydramine 10 mg PO, 4 times per day, Pimecrolimus 1% cream, apply to skin lesions daily; A nurse is caring for a 3-year-old male client in the emergency department. The client presents with a history of irritability, scratching, and bleeding from skin lesions. The nurse is preparing to discharge the client.
Question 4 of 5
Which of the following statements should the nurse plan to include in the discharge instructions for the child's guardian? (Select all that apply)
Correct Answer: A,B,C,E,G
Rationale:
Correct Answer: A, B, C, E, G
Rationale:
A: "You should use a mild detergent for your child's laundry." This is important to prevent skin irritation in sensitive skin.
B: "You should apply emollients to your child's skin after bathing." Emollients help in moisturizing and soothing the skin.
C: "You can apply gloves to your child's hands." Gloves can protect the skin from further irritation and damage.
E: "You should cut and file your child's fingernails frequently." Short nails help prevent scratching and worsening of skin lesions.
G: "Your child will experience occasional flare-ups of this condition." Setting realistic expectations about the condition helps in long-term management.
Summary:
D: "You should apply a thick layer of pimecrolimus cream to your child's lesions." Pimecrolimus cream is not usually recommended for all types of skin conditions.
F: "Your child's condition is contagious when lesions
Extract:
A nurse is caring for a 5-year-old child who has acute poststreptococcal glomerulonephritis.
Question 5 of 5
Which of the following findings should indicate to the nurse that treatment has been effective?
Correct Answer: D
Rationale: The correct answer is D: Clear urine. Clear urine indicates proper hydration and kidney function, showing that the treatment has been effective in maintaining the body's fluid balance. Odorless urine (choice
A) is not a reliable indicator of treatment effectiveness. Temperature (choice
B) within normal range doesn't directly relate to treatment success. No pain with voiding (choice
C) is important but doesn't necessarily indicate treatment effectiveness. The focus should be on physiological changes like clear urine to assess treatment outcomes.