ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
A nurse is teaching the parent of a school-age child about bicycle safety.
Question 1 of 5
Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: This is incorrect because the child's feet should be able to touch the ground comfortably when seated on the bicycle for balance and control. Riding against the flow of traffic is dangerous and increases accident risk. Walking the bicycle through intersections ensures visibility and reduces collision risk. Keeping the bicycle 3 feet from the curb is not standard; children should ride close to the curb with traffic flow.
Extract:
A nurse is caring for a child who has epiglottitis due to an infection with Haemophilus influenzae type B.
Question 2 of 5
Which of the following actions should the nurse take? Select all that apply.
Correct Answer: C,D,E
Rationale: Throat cultures or epiglottis inspection risk airway obstruction. Droplet precautions prevent spread. Monitoring oxygen saturation ensures respiratory stability. IV access supports medication and fluid administration.
Extract:
A nurse is evaluating the pain level of a toddler who is cognitively impaired to a non-pharmacologic intervention.
Question 3 of 5
Which of the following pain scales should the nurse use to evaluate the toddler's pain level?
Correct Answer: A
Rationale: FLACC assesses pain in non-verbal children via behavior, ideal for cognitively impaired toddlers. FACES and visual analog require self-reporting, unsuitable here. CRIES is for neonates, not toddlers.
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 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,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 on a pediatric unit is caring for four children.
Question 5 of 5
The nurse should use droplet precautions for which of the following children?
Correct Answer: C
Rationale: Conjunctivitis and lice spread by contact, hepatitis A by fecal-oral route. Influenza requires droplet precautions due to respiratory droplet transmission.