ATI RN
ATI RN Pediatric Nursing 2023 Questions
Extract:
A nurse is providing teaching about home care to the parent of a child who has scabies.
Question 1 of 5
Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Treat everyone who came into close contact with the child. This instruction is crucial in preventing the spread of contagious conditions like lice. Treating close contacts helps eliminate the risk of re-infestation.
A: Washing the child's hair with shampoo containing ketoconazole may help treat the condition, but it does not address preventing spread to others.
C: Applying petroleum jelly may suffocate the lice, but it does not address treating potential infestations in close contacts.
D: Soaking combs and brushes in boiling water is a good practice to kill lice and nits, but it does not prevent spread to others.
Extract:
A nurse is providing teaching for a 20-year-old adolescent who has syphilis.
Question 2 of 5
Which of the following statements should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: I have to notify the public health department. This statement is important for public health reasons as certain conditions require notification to prevent the spread of disease.
Choice A does not address public health concerns and is vague.
Choice C may not be necessary depending on the situation and the patient's age.
Choice D is important but not urgent in this scenario.
Choices E, F, and G are not provided, so they are irrelevant.
Therefore, choice B is the most appropriate statement to make in this situation.
Extract:
A nurse is preparing to administer an oral medication to a preschooler.
Question 3 of 5
Which of the following actions should the nurse take to encourage acceptance of the medication?
Correct Answer: A
Rationale: The correct answer is A: Provide an ice pop after administering the medication. This action is effective because it creates a positive association with taking the medication by offering a pleasant treat afterward. This can help the child see medication time as a more positive experience. Milk (choice
B) may interfere with medication absorption. Mixing the medication with food (choice
C) may mask the taste but does not necessarily promote acceptance. Diluting the medication with water (choice
D) may also decrease its effectiveness.
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 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,D,F,G
Rationale:
Step 1: Cutting and filing the child's fingernails frequently (
Choice
A) is important to prevent scratching and further aggravating the lesions, promoting healing.
Step 2: Using a mild detergent for the child's laundry (
Choice
B) is essential to avoid skin irritation and exacerbation of the condition.
Step 3: Informing the guardian that the child will experience occasional flare-ups (
Choice
D) prepares them for potential worsening of symptoms and the need for prompt intervention.
Step 4: Applying gloves to the child's hands (
Choice F) can protect the lesions from scratching, prevent infection, and aid in the healing process.
Step 5: Applying emollients to the child's skin after bathing (
Choice G) helps maintain skin hydration, soothes irritation, and supports the skin barrier function.
Summary:
Choice A, B, D, F, and G are correct as they address important aspects of managing the child's condition and promoting healing.
Choices C and E are incorrect
Extract:
Cerebrospinal fluid: Pressure: 22 cm H2O (less than 20 cm H2O), Color: Cloudy (clear or colorless), Blood: None (none), Cells RBC: 0 (0), WBC: 36 cells/mcL (0 to 30 cells/mcL), Protein: 92 mg/dL (up to 70 mg/dL), Glucose: 36 mg/dL (50 to 75 mg/dL), Serum glucose: 64 mg/dL (60 to 100 mg/dL).
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Administer ceftriaxone. This is the appropriate action as ceftriaxone is an antibiotic commonly used to treat bacterial infections. In clinical practice, administering antibiotics promptly is crucial in managing infections to prevent complications. Administering the pneumococcal conjugate vaccine (
B) would not be the immediate action required in this scenario. Initiating serum glucose testing every 1 hr (
C) is not relevant to administering ceftriaxone. Initiating neutropenic precautions (
D) is not indicated without further information related to the patient's condition.