ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
A nurse is assessing an 18-month-old toddler during a well-child visit.
Question 1 of 5
Which of the following findings should the nurse identify as a potential developmental delay?
Correct Answer: B
Rationale: Parallel play, 10 words, and 3-block towers are normal at 18 months. Walking with assistance suggests delay, as independent walking is expected by this age.
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 2 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:
Choice A: Mild detergent reduces skin irritation.
Choice B: Emollients hydrate skin, preventing dryness.
Choice C: Gloves prevent scratching damage.
Choice D: Thick pimecrolimus layers risk side effects; thin layers are correct.
Choice E: Short nails minimize excoriation.
Choice F: Eczema isn't contagious.
Choice G: Flare-ups are expected in chronic skin conditions like eczema.
Extract:
A nurse is assessing a child who has measles.
Question 3 of 5
Which of the following areas should the nurse inspect for Koplik spots?
Correct Answer: A
Rationale: Koplik spots, bluish-white with a red halo, appear inside the cheeks in measles, not on the tongue, gums, or lips.
Extract:
A nurse is caring for a client.
Question 4 of 5
Which action demonstrates effective collaboration?
Correct Answer: B
Rationale: Independent action lacks collaboration. Seeking guidance from a specialist like a wound care nurse leverages expertise, enhancing care. Delegating to another nurse may not ensure specialized input. Consulting only family excludes professional input, limiting collaboration.
Extract:
A nurse is caring for a newly admitted child.
Question 5 of 5
Which members of the interprofessional team should the nurse initiate a referral to?
Correct Answer: A
Rationale: A dietitian assesses nutritional needs, critical for a new admission. Occupational, physical, or speech therapists may be needed later, but nutrition is the initial priority.