ATI RN
ATI RN Pediatric Nursing 2023 I Questions
Extract:
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. 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 further damage from scratching and reduce the risk of infection. B. Using a mild detergent for the child's laundry can help minimize irritation to the skin. C. 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. D. Informing the guardian that the child will experience occasional flare-ups of the condition helps manage expectations and prepares them for potential recurrence. E. Atopic dermatitis is not typically contagious, so the statement that the child's condition is contagious when lesions are present is inaccurate. F. Applying gloves to the child's hands can prevent scratching and further damage to the skin. G. Applying emollients to the child's skin after bathing helps maintain skin hydration and barrier function, reducing the severity of atopic dermatitis symptoms.
Extract:
Question 2 of 5
A nurse is caring for an adolescent who has major depressive disorder. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: A. Assessing the risk of self-harm or suicide is the top priority when caring for a patient with major depressive disorder. B, C, D. These follow safety assessment.
Question 3 of 5
A nurse is caring for a child who has had a lumbar puncture. Which of the following complications should the nurse monitor the child for?
Correct Answer: C
Rationale: C. Headache is a common complication of lumbar puncture due to cerebrospinal fluid leakage. A. Nuchal rigidity suggests meningitis, not a puncture complication. B. Double vision is not typical. D. Iliac crest pain is unrelated.
Question 4 of 5
A nurse in an emergency department is caring for a toddler who has manifestations of epiglottitis. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: D. Placing intubation equipment at the bedside is the first priority because epiglottitis can cause airway obstruction and respiratory distress. A, B, C. These are important but not the immediate priority compared to securing the airway.
Question 5 of 5
A charge nurse is observing a staff nurse who is caring for a child who has pertussis. Which of the following actions by the staff nurse indicates an understanding of infection control practices?
Correct Answer: A
Rationale: A. Maintaining droplet precautions while the child is coughing and sneezing is appropriate because pertussis is primarily transmitted via respiratory droplets. B. Applying a mask after entering is incorrect timing. C. Gloves are not specific to pertussis transmission. D. Airborne precautions are not needed for pertussis.