ATI RN
ATI RN Pediatric Nursing 2023 II 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.
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,C,D,F,G
Rationale:
Correct Answer: A, C, D, F, G
Rationale:
A: Cutting and filing the child's fingernails frequently can prevent scratching and further irritation.
C: Applying emollients after bathing helps hydrate and protect the skin, reducing dryness and itching.
D: Using a mild detergent minimizes skin irritation and reduces the risk of exacerbating the condition.
F: Applying gloves to the child's hands can prevent scratching and protect the skin during activities.
G: Informing the guardian about occasional flare-ups prepares them for potential worsening of the condition.
Extract:
Question 2 of 5
A nurse is caring for a 5-year-old child who has acute poststreptococcal glomerulonephritis. Which of the following findings should indicate to the nurse that treatment has been effective?
Correct Answer: C
Rationale: The correct answer is C: Clear urine. In acute poststreptococcal glomerulonephritis, the kidneys are inflamed, leading to protein and blood in the urine, causing it to appear cloudy or dark. Clear urine indicates that the inflammation and damage to the kidneys have improved, reflecting effective treatment.
Choice A is not relevant to kidney function.
Choice B does not directly relate to kidney inflammation.
Choice D is not a specific indicator of kidney improvement.
Question 3 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: B
Rationale: The correct answer is B: Reposition the client using a turning sheet. When caring for a client with a halo vest, repositioning using a turning sheet helps prevent skin breakdown and pressure ulcers. This action maintains proper alignment of the halo device and reduces the risk of complications. Encouraging flexion and extension of the neck (
Choice
A) is contraindicated as it can disrupt the stability of the halo device and potentially cause harm. Assessing the pin sites for infection once every other day (
Choice
C) is important but not the priority action in this scenario. Tightening the screws on the halo device (
Choice
D) should only be done by healthcare professionals as per specific instructions.
Extract:
History and Physical: A 15-year-old adolescent is admitted for a vaso-occlusive crisis. The parent reports that the adolescent has a low-grade fever and has vomited for 3 days. The adolescent reports having right-sided and low back pain. They also report hands and right knee are painful and swollen. The client reports pain as 8 on a scale of 0 to 10.
Question 4 of 5
Select the 5 interventions the nurse should include.
Correct Answer: B,C,D
Rationale: The correct interventions are B, C, and D. B: Hydroxyurea helps decrease sickle cell crisis frequency. C: Meperidine is used for pain management in sickle cell disease. D: Pneumococcal vaccine helps prevent infections. A is incorrect as oral intake should not be restricted in sickle cell crisis. E, F, and G are not provided in the question.
Extract:
Question 5 of 5
A nurse is evaluating the pain level of a toddler who is cognitively impaired to a nonpharmacologic intervention. Which of the following pain scales should the nurse use to evaluate the toddler's pain level?
Correct Answer: C
Rationale: The correct answer is C: FLACC. The FLACC scale is specifically designed for assessing pain in nonverbal individuals such as toddlers or cognitively impaired patients. It evaluates Facial expression, Leg movement, Activity, Cry, and Consolability. This scale is suitable for assessing pain in this population as it focuses on observable behaviors that may indicate pain. The Visual Analog scale (
A) requires the ability to comprehend and communicate pain levels, which may be challenging for a cognitively impaired toddler. The FACES scale (
B) relies on the individual's ability to understand and point to facial expressions representing pain, which may not be possible for the toddler in this scenario. The CRIES scale (
D) is typically used for neonates and may not be appropriate for a toddler.