ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
Medication Administration Record - Diphenhydramine 10 mg PO 4 times per day - Pimecrolimus 1% cream apply to skin lesions daily
Question 1 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,D,F,G
Rationale:
Correct Answer: A,B,C,D,F,G. A. Correct. Using a mild detergent helps to minimize irritation and sensitivity, especially for children with skin conditions like eczema, which may benefit from pimecrolimus cream. B. Correct. Applying gloves can prevent scratching and further irritation to the skin, especially if the child has lesions or eczema on their hands. C. Correct. Keeping the child's fingernails short and filed can prevent accidental scratching and trauma to the skin, reducing the risk of exacerbating skin lesions. D. Correct. Emollients help to moisturize the skin and prevent dryness, which can be beneficial for children with skin conditions like eczema. Applying emollients after bathing helps to lock in moisture. E. Incorrect. Pimecrolimus cream should be applied in a thin layer to the affected skin areas, as directed by the healthcare provider. Using a thick layer may not improve efficacy and could increase the risk of side effects. F. Correct. It’s important for the guardian to understand that certain skin conditions, such as eczema, may not be contagious themselves but can become infected if lesions are present and scratched, leading to bacterial or viral infections. G. Correct. Skin conditions like eczema often have a chronic and relapsing course, with periods of exacerbation (flare-ups) and remission.
Extract:
Question 2 of 5
A nurse is teaching a newly licensed nurse about infant safety. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale:
Correct Answer: A. One-piece pacifiers prevent choking. B. 5-month-olds lack motor control for high chairs. C. Airbags pose injury risk; back seat is safer. D. Firm mattress, not soft, reduces SIDS risk.
Extract:
Toddler after orchiopexy procedure
Question 3 of 5
A nurse is providing education to the parents of a toddler who is being discharged after an orchiopexy procedure. Which of the following statements indicates an understanding of the teaching?
Correct Answer: A
Rationale:
Correct Answer: A. Avoiding straddled toys for 2 weeks protects the surgical site. B. Full activity risks injury. C. Fertility isn’t guaranteed post-orchiopexy. D. Pain meds are often needed.
Extract:
Client postoperative following placement of a halo vest to manage a cervical vertebral fracture
Question 4 of 5
A nurse is caring for a client who is postoperative following placement of a halo vest to manage a cervical vertebral fracture. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Pin site care is crucial to prevent infection. The nurse should assess the pin sites regularly for signs of infection, such as redness, swelling, drainage, or increased pain. A. Using a turning sheet could disturb spinal alignment. B. Tightening screws without direction can harm the client. C. Neck movement is contraindicated with a halo vest.
Extract:
Question 5 of 5
A nurse is performing an assessment for a 5-year-old child who has celiac disease. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale:
Correct Answer: D. Steatorrhea (fatty stools) is common in celiac disease due to fat malabsorption. A. Sausage-shaped mass suggests intussusception. B. Red-currant stools are linked to intussusception. C. Hematemesis is associated with GI bleeding, not celiac disease.