ATI RN
ATI RN Pediatric Nursing 2023 Questions
Extract:
A nurse is assessing a child for scabies.
Question 1 of 5
Which of the following findings should the nurse identify as a manifestation of scabies?
Correct Answer: D
Rationale: The correct answer is D: Maculopapular skin burrows on the hand. Scabies is caused by a tiny mite that burrows into the skin, leading to the formation of characteristic burrows, which are tiny, raised, grayish-white or skin-colored lines on the skin. These burrows are most commonly found between the fingers, on the wrists, elbows, and genitals. Scaly lesions on the inner thighs (
A) are more indicative of other skin conditions like eczema or psoriasis. Rash with red macular lesions on the scalp (
B) is more suggestive of conditions like seborrheic dermatitis or psoriasis. Bull's eye edematous area on the groin (
C) is more likely associated with conditions like Lyme disease or ringworm.
Therefore, the presence of maculopapular skin burrows on the hand (
D) is the most specific manifestation of scabies.
Extract:
A nurse is caring for an adolescent who has a new diagnosis of type 1 diabetes mellitus.
Question 2 of 5
Which of the following recommendations should the nurse make?
Correct Answer: C
Rationale: The correct answer is C: Consult with a nutritionist. This recommendation is important to help manage diabetes effectively by providing personalized dietary guidance. A: Storing opened vials of insulin for 60 days is incorrect as insulin should be discarded after 28 days. B: Following up with physical therapy may be beneficial but is not the priority in this case. D: Monitoring capillary blood glucose daily is essential but does not address the need for nutritional guidance. Consulting with a nutritionist is crucial for optimizing blood sugar control and overall health in diabetes management.
Extract:
A nurse in a family practice clinic is assessing a preschool-age child who recently experienced the death of a sibling.
Question 3 of 5
Which of the following reactions is an age-appropriate response to death?
Correct Answer: B
Rationale: The correct answer is B: The child is curious about what happened to the sibling's body. This response is age-appropriate as children often have a natural curiosity about death and what happens to the body after death. It reflects a typical stage of development where children are trying to make sense of the concept of death. Other choices are incorrect: A is incorrect as children may not fully grasp the permanence of death at a young age. C is incorrect as children may not always be able to provide a logical explanation for death due to their limited cognitive abilities. D is incorrect as children typically do not feel responsible for a sibling's death unless there are specific circumstances leading to such feelings.
Extract:
A nurse is caring for a child who has had a lumbar puncture.
Question 4 of 5
Which of the following complications should the nurse monitor the child for?
Correct Answer: C
Rationale: The correct answer is C: Headache. This is because headache is a common complication that can occur in children for various reasons, such as infections, head injuries, or migraines. Monitoring for headaches is important as they could indicate underlying issues needing prompt attention.
A: Nuchal rigidity when standing is associated with meningitis, not a common complication in children.
B: Double vision is more likely related to eye problems rather than common complications in children.
D: Pain in the posterior iliac crest is typically not a common complication in children and may be more related to musculoskeletal issues.
Extract:
A nurse is teaching the parents of a child who has cystic fibrosis about home care following discharge.
Question 5 of 5
Which of the following statements should the nurse include?
Correct Answer: C
Rationale: The correct answer is C because it provides essential information for a child with cystic fibrosis. Taking pancreatic enzymes with meals and snacks helps with digestion due to pancreatic insufficiency common in CF.
Choice A is incorrect as chest x-rays are not routinely done for CF monitoring.
Choice B is incorrect as tonsil and adenoid removal is not typically related to CF.
Choice D is incorrect as isoniazid is used for tuberculosis, not CF.