ATI RN
ATI RN Pediatrics Nursing 2023 I Questions
Extract:
A school nurse is providing teaching to the guardian of a child who has pediculosis.
Question 1 of 5
Which of the following statements by the guardian indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B. The statement "I will place hairbrushes, combs, and hair accessories in boiling water for 10 minutes" demonstrates an understanding of the teaching because it shows awareness of the importance of disinfecting items to prevent the spread of infection. Boiling water is an effective method to kill germs and bacteria. This approach aligns with the need for thorough cleaning and disinfection in cases of contagious conditions like lice infestation.
Choices A, C, and D are incorrect because they do not directly address the need for disinfection to prevent the spread of infection.
Choice A focuses on sealing items, which may not effectively kill germs.
Choice C mentions washing clothing and bedding but does not address the need to disinfect items like hairbrushes and combs.
Choice D mentions using medicated shampoo but does not cover the importance of disinfecting items to prevent reinfestation.
Extract:
A nurse is providing teaching to the guardian of an infant who has heart failure.
Question 2 of 5
Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Minimize the infant's environmental stimuli. This instruction is crucial for promoting infant sleep hygiene and reducing overstimulation. Excessive stimuli can disrupt the infant's sleep patterns, leading to sleep disturbances and irritability. By minimizing environmental stimuli, the infant is more likely to achieve restful sleep, which is essential for their growth and development.
Choice A (Place the infant in a supine position) is a safe sleep practice to reduce the risk of sudden infant death syndrome (SIDS), but it is not directly related to promoting sleep hygiene.
Choice B (Allow the infant to sleep through night feedings) is not recommended as infants often need to be fed during the night for proper nourishment and growth.
Choice D (Bathe the infant every day) is not necessary and can actually dry out the infant's skin, leading to irritation.
Extract:
A nurse is assessing a 12-year-old child who has asthma and states, 'I am frustrated about not being able to participate in sports.'
Question 3 of 5
Which of the following responses should the nurse make?
Correct Answer: D
Rationale: The correct response is D: "You can participate in sports if you use your rescue inhaler before practice or games." This answer is correct because using a rescue inhaler before physical activity can help prevent exercise-induced asthma symptoms. It is a common and effective strategy to manage asthma and allow individuals to engage in sports safely.
Choice A is incorrect as it suggests avoiding sports altogether, which is not necessary if asthma is well-controlled.
Choice B is incorrect because it dismisses the importance of addressing the specific issue of exercise-induced asthma.
Choice C is incorrect as solely using a peak flow meter does not provide direct protection against asthma symptoms during physical activity.
Extract:
A nurse is caring for an 8-month-old infant who has received a bolus of IV fluid for hypovolemic shock.
Question 4 of 5
Which of the following findings indicates the treatment was effective?
Correct Answer: D
Rationale: The correct answer is D because a capillary refill time of 2 seconds indicates adequate tissue perfusion, which is a positive response to treatment.
Choice A (fever) indicates ongoing infection, B (sunken fontanel) suggests dehydration, and C (tachycardia) can indicate stress or inadequate cardiac output.
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.