ATI RN
ATI RN Pediatric Nursing 2023 Questions
Extract:
A nurse is teaching a newly licensed nurse about infant safety.
Question 1 of 5
Which of the following information should the nurse include in the teaching?
Correct Answer: C
Rationale: C. Providing a one-piece pacifier is a safe practice since it prevents the pacifier from breaking apart and causing a choking hazard. A. Placing a 5-month-old in a high chair is unsafe due to fall or choking risks. B. A soft mattress increases the risk of sudden infant death syndrome (SIDS). D. Securing a car seat behind an airbag is dangerous due to injury risk.
Extract:
The child's guardian states the child has been unable to sleep recently and has been very irritable. Guardian expresses concern about the child's atopic dermatitis worsening and the child scratching excessively, which results in the areas bleeding. Guardian states the child has a history of allergic rhinitis. Assessment: Child is alert and responsive, Respiratory rate even and nonlabored at rate of 24/min. No adventitious sounds auscultated, Heart rate 108/min, Generalized small clusters of reddish, scaly patches with lichenifications and depigmentation on the child's bilateral upper and lower extremities.
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,D,F,G
Rationale: A. Cutting and filing the child's fingernails frequently can help prevent further damage from scratching and reduce the risk of infection. B. Using a mild detergent for the child's laundry can help minimize irritation to the skin. C. Pimecrolimus cream is a topical immunomodulator that may be used for atopic dermatitis, but the thick layer application is not typically recommended for children due to safety concerns. D. Informing the guardian that the child will experience occasional flare-ups of the condition helps manage expectations and prepares them for potential recurrence. E. Atopic dermatitis is not typically contagious, so the statement that the child's condition is contagious when lesions are present is inaccurate. F. Applying gloves to the child's hands can prevent scratching and further damage to the skin. G. Applying emollients to the child's skin after bathing helps maintain skin hydration and barrier function, reducing the severity of atopic dermatitis symptoms.
Extract:
A nurse is planning to administer diphenhydramine 1.25 mg/kg IV to a school-age child who weighs 55 lb. Available is diphenhydramine 50 mg/mL.
Question 3 of 5
How many ml should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 0.6
Rationale: First, convert the child's weight from pounds to kilograms: 55 ÷ 2.2 = 25 kg. Next, calculate the dose: 1.25 mg/kg × 25 kg = 31.25 mg.
Then, determine the volume: 31.25 mg ÷ 50 mg/mL = 0.625 mL. Round to the nearest tenth: 0.625 rounds to 0.6 mL.
Extract:
A nurse is providing teaching for a 20-year-old adolescent who has syphilis.
Question 4 of 5
Which of the following statements should the nurse make?
Correct Answer: B
Rationale: B. Notifying the public health department is essential for contact tracing and preventing the spread of syphilis. A. Retesting may be needed, but notification is immediate. C. Contacting parents is not appropriate for a 20-year-old. D. Metronidazole is not used for syphilis treatment.
Extract:
A nurse is caring for an adolescent who has major depressive disorder.
Question 5 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: A. Assessing the risk of self-harm or suicide is the top priority when caring for a patient with major depressive disorder. B, C, D. These follow safety assessment.