ATI RN
ATI RN Pediatrics Nursing 2023 I Questions
Extract:
A nurse is planning a staff in-service about infection control measures to prevent the spread of influenza in school-age children.
Question 1 of 5
Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: "Wear a face mask when working within 3 feet of a child who is infected." This instruction is important in preventing the spread of infectious diseases like influenza. Wearing a face mask helps to reduce the risk of inhaling respiratory droplets containing the virus. It is a crucial infection control measure for healthcare workers to protect themselves and others.
Choice B is incorrect because administering antibacterial medication is not the standard treatment for influenza, which is caused by a virus, not bacteria.
Choice C is incorrect as children are typically considered infectious for around 5-7 days, not 14 days.
Choice D is incorrect as the influenza vaccine is typically administered annually, not every 6 months.
Extract:
A nurse is caring for a pediatric client receiving radiation therapy to the abdominal area.
Question 2 of 5
Which of the following statements by the nurse promotes proper skin integrity for the client?
Correct Answer: A
Rationale:
Correct Answer: A: "Do not wash the area with strong soaps and do not rub the area dry, just pat it dry."
Rationale: Proper skin integrity is maintained by gentle cleansing and patting dry to prevent irritation and damage. Strong soaps can strip the skin of natural oils, leading to dryness and potential damage. Patting the skin dry rather than rubbing helps prevent friction and further irritation.
Summary of Incorrect
Choices:
B: Applying triple antibiotic ointment may not be necessary for promoting skin integrity and can sometimes lead to allergic reactions or sensitivities.
C: Using an abdominal binder may restrict airflow and moisture, potentially leading to skin breakdown.
D: Keeping the area exposed to direct sunshine can increase the risk of sunburn and damage to the skin, rather than promoting proper skin integrity.
Extract:
A nurse is assessing an infant who has congestive heart failure.
Question 3 of 5
Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Tachypnea. In a patient experiencing pain or anxiety, tachypnea (increased respiratory rate) is a common finding due to the body's sympathetic response. This occurs as a result of increased levels of adrenaline and cortisol, leading to rapid breathing as the body prepares for "fight or flight." Increased urine output (
A) is not typically associated with pain or anxiety. Bradycardia (
B) and increased blood pressure (
C) are less likely findings in this situation, as the sympathetic response typically leads to increased heart rate and blood pressure.
Extract:
A nurse is providing teaching to the parents of a toddler who is exhibiting negativism during mealtimes.
Question 4 of 5
Which of the following statements by the nurse is appropriate?
Correct Answer: C
Rationale: The correct answer is C because it offers the patient a choice between two options, which promotes autonomy and respects her preferences. Option A doesn't offer a choice and may come off as imposing. Option B assumes the patient's preference without confirming. Option D dictates the choice without involving the patient. By providing a choice between two meal options, option C empowers the patient to make a decision based on her preferences and respects her autonomy.
Extract:
A nurse is caring for a child who is to receive the first dose of IV gentamicin.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Maintain strict I&O. This is essential to monitor the patient's fluid balance accurately, crucial in preventing complications such as dehydration or fluid overload. Monitoring intake and output helps assess renal function and fluid status.
Choices A, C, and D are incorrect. A - Monitoring for constipation is important but not the priority in this scenario. C - Initiating airborne precautions is not relevant to maintaining fluid balance. D - Encouraging bed rest is not appropriate without knowing the patient's condition, as some patients may need mobility for circulation and respiratory function.