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: A. Cutting and filing the child's fingernails frequently can help prevent scratching and further irritation of the skin. B. Atopic dermatitis is not contagious, so this statement is incorrect. C. Applying emollients (moisturizers) to the child's skin after bathing can help hydrate the skin and reduce itching. D. Using a mild detergent for the child's laundry can help minimize skin irritation. E. Pimecrolimus cream is a topical immunomodulator that may be used for atopic dermatitis, but the thick layer application is not typically recommended for children due to safety concerns. F. Applying gloves to the child's hands can prevent scratching and further damage to the skin. G. Atopic dermatitis often has periods of exacerbation (flare-ups) followed by periods of improvement.
Extract:
Question 2 of 5
A nurse is caring for a newly admitted child who has cystic fibrosis. For which of the following members of the interprofessional team should the nurse initiate a referral?
Correct Answer: A
Rationale: A dietitian can provide essential guidance on appropriate nutrition and caloric intake, which is crucial for managing cystic fibrosis. Occupational therapists focus on improving fine motor skills and daily living activities, which may not be the primary concern for a child with cystic fibrosis. Speech-language pathologists primarily address speech and language disorders, which may not be directly related to cystic fibrosis. Physical therapists focus on improving mobility and strength, which may be important but may not be the priority in the early management of cystic fibrosis.
Question 3 of 5
A nurse is assessing a 7-year-old child who has diabetes mellitus. Which of the following findings should the nurse identify as a manifestation of hypoglycemia?
Correct Answer: B
Rationale: Increased capillary refill time is not typically associated with hypoglycemia. It may indicate poor peripheral circulation. Shakiness or tremors are common signs of hypoglycemia, as the body responds to low blood sugar levels. Thirst is not typically associated with hypoglycemia. It may be a symptom of hyperglycemia, where blood sugar levels are high. While decreased appetite can occur with hypoglycemia, it is not as specific a symptom as shakiness.
Question 4 of 5
A nurse is providing teaching to the guardian of a 2-year-old child about typical toddler behavior. Which of the following behaviors should the nurse include?
Correct Answer: B
Rationale:
Toddlers thrive on routines and consistency, which provide them with security and predictability.
Toddlers are in a stage of development where they assert their independence and autonomy by saying 'no' or 'mine' to almost everything. This is a normal and healthy behavior that reflects their growing sense of self and identity.
Toddlers are typically emotionally labile, meaning they can experience rapid changes in mood and emotions.
Toddlers may display increased independence rather than increased dependency as they strive to assert their autonomy.
Question 5 of 5
A nurse is providing discharge teaching to the parents of a school-age child following surgery and cast application to the right forearm. Which of the following information is the priority for the nurse to include?
Correct Answer: C
Rationale: Examining the child for skin irritation at the cast edges is important to prevent complications, but it is not the priority over monitoring for circulation and potential complications. Restricting strenuous activities is important for preventing damage to the cast, but it is not the priority over monitoring for circulatory compromise. Monitoring for pallor or swelling in the child's affected hand is the priority because it indicates potential circulatory compromise, which is a critical concern following cast application. Using a hair dryer on a cool setting to relieve itching is a helpful suggestion, but it is not the priority.