ATI RN
ATI RN Pediatrics Nursing 2023 I Questions
Extract:
A nurse is caring for a pediatric client receiving radiation therapy to the abdominal area.
Question 1 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:
Nurses' Notes Day 1, 1020: Child is a direct admit from a pediatric clinic with fever, chills, irritability for 2 days, prior URI 2 weeks ago, no prior conditions, fully immunized. 1030: Child reports nausea, headache (7/10), lethargic, nuchal rigidity, capillary refill 4 seconds.
Question 2 of 5
A pediatrician has evaluated the child and has written new prescriptions. The nurse is preparing to assist with a lumbar puncture. Which of the following actions should the nurse take? Select all that apply.
Correct Answer: A,D,E,G
Rationale: Correct answer: A, D, E, G
A: Apply pressure to the puncture site following the procedure - This is important to prevent bleeding and promote clotting.
D: Ensure the guardian has signed the consent form prior to the procedure - This is a legal and ethical requirement to ensure informed consent.
E: Ensure the child voids prior to the procedure - This helps reduce the risk of post-procedure urinary retention.
G: Monitor for paresthesia and tingling in extremities following the procedure - This is important to assess for potential nerve damage or complications.
Incorrect choices:
B: Limit the child's fluid intake following the procedure - There is no need to limit fluid intake post-lumbar puncture.
C: Position the child in a prone position during the procedure - The child should be in a lateral decubitus position for a lumbar puncture.
F: Insert an indwelling urinary catheter during the procedure - There is no indication for inserting a catheter
Extract:
A nurse is teaching the guardian of a child who is suspected of having cystic fibrosis and is scheduled for a sweat chloride test.
Question 3 of 5
Which of the following statements should the nurse include?
Correct Answer: A
Rationale: The correct answer is A because collecting two separate samples ensures reliability in test results by minimizing errors and confirming consistency. This method helps to rule out any potential contamination or handling issues that could affect the accuracy of the test. Option B is incorrect as providing a specific time frame for test completion may vary and is not universally applicable. Option C is incorrect as sedation is not typically required for this type of test and may introduce unnecessary risks. Option D is incorrect because the fasting period recommended before the test is usually shorter than 6 hours.
Extract:
A nurse is planning a staff in-service about infection control measures to prevent the spread of influenza in school-age children.
Question 4 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 school nurse is providing teaching to the guardian of a child who has pediculosis.
Question 5 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.