ATI RN
ATI Nur307 Pediatrics Quiz Questions
Extract:
Nurses' Notes: The child's guardian states the child has been unable to sleep recently and has been very irritable. Guardian expresses concern about the child's atopic dermatitis worsening and the child scratching excessively, which results in the areas bleeding. Guardian states the child has a history of allergic rhinitis. Medication Administration Record: Diphenhydramine 10 mg PO 4 times per day, Pimecrolimus 1% cream apply to skin lesions daily. Assessment: Child is alert and responsive. Respiratory rate even and nonlabored at rate of 24/min. No adventitious sounds auscultated. Heart rate 108/min. Generalized small clusters of reddish, scaly patches with lichenifications and depigmentation on the child's bilateral upper and lower extremities.
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,D,F,G
Rationale: A: Cutting and filing the child's fingernails frequently can help prevent excessive scratching and further damage to the skin. B: Using a mild detergent reduces the risk of skin irritation and exacerbation of atopic dermatitis. D: Atopic dermatitis tends to have periodic flare-ups, so it's important to inform the guardian about this aspect of the condition. F: Applying gloves to the child's hands can prevent scratching and further skin damage. G: Emollients help to moisturize the skin and improve its barrier function, which is important in managing atopic dermatitis.
Extract:
Question 2 of 5
A nurse is teaching a group of parents about childhood immunizations. The nurse should identify that infants should receive the first dose of which of the following immunizations at 12 months of age?
Correct Answer: D
Rationale: The first dose of the varicella vaccine is recommended at 12 months of age.
Question 3 of 5
A nurse is providing instructions about a 24-hr urine collection to an adolescent client. Which of the following should the nurse include in the teaching?
Correct Answer: C
Rationale: Discarding the first voided specimen ensures the urine collection represents the entire 24-hour period.
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: Repositioning with a turning sheet prevents movement of the halo device and injury to the cervical spine.
Question 5 of 5
A nurse is providing teaching to the parent of a 10-month-old infant who is having difficulty eating. The parent is feeding their infant goat milk. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Goat milk lacks necessary nutrients for infants and should not be used as the sole source of nutrition. Commercially prepared infant formula is the best alternative.