ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
Nurses' Notes (0800 hrs): The client's guardian reports that the child has been unable to sleep recently and has been very irritable. The guardian expresses concern about the child's skin condition worsening and the child scratching excessively, which results in the areas bleeding. The guardian states the child has a history of allergic rhinitis. The child appears alert and responsive but frequently scratches at the affected areas. The guardian mentions that the child has been using a new laundry detergent recently. The child has been given diphenhydramine 10 mg PO for itching. The guardian is worried about the potential for infection due to the open sores; Vital Signs (0800 hrs): Temperature: 37.2°C (99°F), Heart rate: 110/min, Respiratory rate: 22/min, Blood pressure: 100/60 mmHg; Physical Examination Results (0800 hrs): Generalized small clusters of reddish, scaly patches with lichenifications and depigmentation on the child's bilateral upper and lower extremities. The affected areas are dry and rough to the touch. Some areas show signs of excoriation and minor bleeding. No signs of systemic infection observed. The child appears to be in mild distress due to itching; Medication Administration Record: Diphenhydramine 10 mg PO, 4 times per day, Pimecrolimus 1% cream, apply to skin lesions daily; A nurse is caring for a 3-year-old male client in the emergency department. The client presents with a history of irritability, scratching, and bleeding from skin lesions. The nurse is preparing to discharge the client.
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,E,G
Rationale:
Choice A: Mild detergent reduces skin irritation.
Choice B: Emollients hydrate skin, preventing dryness.
Choice C: Gloves prevent scratching damage.
Choice D: Thick pimecrolimus layers risk side effects; thin layers are correct.
Choice E: Short nails minimize excoriation.
Choice F: Eczema isn't contagious.
Choice G: Flare-ups are expected in chronic skin conditions like eczema.
Extract:
A nurse is planning care for a preschooler who has autism spectrum disorder.
Question 2 of 5
Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: Holding may distress the child. A reward system reinforces positive behavior effectively. Extended eye contact can be uncomfortable, and cooperative play may be too complex; structured activities are better.
Extract:
A nurse is planning care for a child who is in the acute stage of nephrotic syndrome.
Question 3 of 5
Which of the following interventions should the nurse include in the plan of care?
Correct Answer: A
Rationale: Daily weighing monitors fluid retention in nephrotic syndrome, critical for assessing edema. Increased fluid intake worsens edema. Supine positioning may increase fluid pooling. Calorie restriction is unnecessary; balanced nutrition supports recovery.
Extract:
A nurse is preparing to administer an IM injection to a 3-year-old child.
Question 4 of 5
Which of the following statements should the nurse make?
Correct Answer: C
Rationale: Bribing for no crying adds pressure. Vague promises of 'fixing' are misleading. Offering a choice empowers the child, reducing anxiety. Minimizing pain as a 'little stick' may undermine trust.
Extract:
A nurse is caring for a 5-year-old child who has acute poststreptococcal glomerulonephritis.
Question 5 of 5
Which of the following findings should indicate to the nurse that treatment has been effective?
Correct Answer: D
Rationale: Odorless urine, normal temperature, and no pain aren't specific to APSGN recovery. Clear urine indicates resolved hematuria, a sign of effective treatment.