ATI RN
ATI RN Pediatrics Nursing 2023 I Questions
Extract:
A nurse is caring for a toddler who received radiation therapy 2 years ago for a brain tumor.
Question 1 of 5
Which of the following should the nurse identify as a late adverse effect of the radiation therapy?
Correct Answer: D
Rationale: The correct answer is D: Short stature. Late adverse effects of radiation therapy typically manifest months to years after treatment. Radiation can affect bones and inhibit growth, leading to short stature. Mucosal ulceration (
A) and desquamation (
C) are early side effects, while nausea (
B) is a common acute side effect.
Therefore, they are not considered late adverse effects.
Choice E, F, and G are not provided.
Extract:
A nurse is providing teaching to the guardian of a toddler who has scabies.
Question 2 of 5
Which of the following statements should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C because it addresses the importance of treating close contacts to prevent the spread of contagious diseases like scabies. This statement emphasizes the need for comprehensive treatment to eradicate the infestation completely.
Choice A focuses on treatment for the child, but does not address the potential spread to others.
Choice B is incorrect as scabies is primarily spread through direct skin-to-skin contact, so cleaning the entire home is unnecessary.
Choice D is related to managing scabies on clothing and linens, but it does not address the crucial aspect of treating close contacts.
Extract:
A nurse is performing a physical assessment for a 13-year-old adolescent.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A because having the child bend forward at the waist and checking for asymmetry of the scapula is a specific action related to assessing for scoliosis. This position helps in identifying any irregularities in the alignment of the spine. Option B is incorrect as auscultating the abdomen for bowel sounds is unrelated to the scenario. Option C, using the FACES scale, is more applicable for assessing pain intensity, not for assessing scoliosis. Option D, observing abdominal movement for respiratory rate, is also not relevant to the assessment of scoliosis.
Extract:
A nurse in a clinic is assessing an infant who has diarrhea, is lethargic, and has dry skin.
Question 4 of 5
Which of the following findings indicates moderate dehydration?
Correct Answer: D
Rationale: The correct answer is D: Capillary refill 3 seconds. In moderate dehydration, decreased circulating blood volume leads to delayed capillary refill time. This occurs because of reduced blood flow to the peripheries. A capillary refill time of 3 seconds indicates moderate dehydration.
Choice A (Decreased respiratory rate) is incorrect as it is more commonly associated with severe dehydration.
Choice B (Bulging anterior fontanel) is a sign of increased intracranial pressure, which is seen in severe dehydration.
Choice C (Mottled skin) is typically seen in shock or severe dehydration, not moderate dehydration.
In summary, the other choices are incorrect because they represent more severe signs of dehydration compared to the delayed capillary refill time of 3 seconds, which is indicative of moderate dehydration.
Extract:
A nurse is performing a dressing change for a child and notices that the gauze dressing is adhering to the wound bed.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Saturate the gauze dressing with sterile saline solution prior to removing it. This action helps prevent the dressing from sticking to the wound, minimizing trauma and pain during removal. Saturating the dressing with saline also helps maintain a moist wound environment, which is conducive to healing.
A: Applying firm pressure can cause trauma to the wound and disrupt the healing process.
B: Irrigating with hydrogen peroxide can be too harsh and may damage healthy tissue.
C: Pulling the dressing parallel to the skin can lead to unnecessary pain and potential damage to the wound bed.