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:
A nurse is teaching an adolescent how to manage his cystic fibrosis.
Question 2 of 5
Which of the following statements by the adolescent indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B: "I will increase my intake of vitamin D." This statement indicates an understanding of the teaching because it shows that the adolescent recognizes the importance of vitamin D for their health. Vitamin D is essential for bone health and overall well-being, especially during adolescence when bone growth is crucial. Increasing intake of vitamin D aligns with the teaching to support their health.
Choice A is incorrect because being excused from physical education class does not demonstrate an understanding of the teaching about health.
Choice C is incorrect as limiting calcium intake can actually increase the risk of kidney stones.
Choice D is incorrect as taking fewer enzymes when eating high-fat foods goes against the teaching of managing fat digestion.
Extract:
A nurse is preparing to obtain a urine specimen from a 5-month-old infant using a urine collection bag.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A because attaching the bag first to the perineum ensures secure positioning without leakage. Attaching it to the skin above the urethra allows for proper drainage.
Choice B is incorrect as the bag should not be removed after voiding.
Choice C is incorrect as absorbent cotton balls can interfere with urine collection.
Choice D is incorrect as petroleum jelly can contaminate the specimen.
Extract:
A nurse is caring for a preschooler who has a gastrostomy tube.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Use barrier ointments around the site. This is the appropriate action to prevent skin breakdown and irritation around the tube site. Barrier ointments create a protective layer between the skin and the tube, reducing friction and moisture-related skin damage.
Choice B is incorrect as hydrogen peroxide can be too harsh and may cause further skin irritation.
Choice C is incorrect as maintaining tension can lead to pressure ulcers.
Choice D is incorrect as transparent dressings may not provide adequate protection from friction and moisture.
Extract:
A nurse is planning care for a school-age child who has acute glomerulonephritis.
Question 5 of 5
Which of the following interventions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A because monitoring blood pressure every 4 hours is crucial in assessing the patient's cardiovascular status and detecting any potential complications in a timely manner. This intervention helps in early identification of hypertension or hypotension, guiding appropriate treatment adjustments. Increasing fluid consumption (
B) is generally beneficial but does not address a specific immediate need. Implementing a protein-restricted diet (
C) may be necessary for certain conditions but is not a priority in this scenario. Collecting and straining urine for sediment (
D) is important for specific renal assessments but does not address the primary concern of monitoring blood pressure.