ATI RN
ATI RN Pediatrics Nursing 2023 I Questions
Extract:
A nurse is providing teaching to the guardian of a toddler who has scabies.
Question 1 of 5
Which of the following statements should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C because it addresses the importance of treating close contacts to prevent the spread of contagious diseases like scabies. This statement emphasizes the need for comprehensive treatment to eradicate the infestation completely.
Choice A focuses on treatment for the child, but does not address the potential spread to others.
Choice B is incorrect as scabies is primarily spread through direct skin-to-skin contact, so cleaning the entire home is unnecessary.
Choice D is related to managing scabies on clothing and linens, but it does not address the crucial aspect of treating close contacts.
Extract:
A nurse is assessing a school-age child who is receiving IV fluids to treat dehydration.
Question 2 of 5
Which of the following findings should indicate to the nurse that the fluid replacement therapy has been effective?
Correct Answer: A
Rationale: The correct answer is A: Capillary refill less than 2 seconds. This finding indicates effective fluid replacement therapy as it shows improved peripheral perfusion. A quick capillary refill time suggests that blood flow to the peripheral tissues is adequate, indicating proper circulation and hydration status. This is a direct and reliable indicator of fluid balance restoration.
Incorrect choices:
B: Elevated potassium levels indicate potential electrolyte imbalance, not fluid status.
C: Voiding less than 1 mL/kg/hr suggests inadequate renal perfusion, not necessarily improved fluid replacement.
D: Tachycardia can be a sign of hypovolemia or dehydration, not necessarily an indicator of effective fluid replacement.
Extract:
A nurse is teaching the guardians of a school-age child who has cystic fibrosis about dietary needs.
Question 3 of 5
Which of the following statements should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: "Offer your child foods that are high in fat." This is because children require essential fatty acids for brain development and overall growth. Fat is a concentrated source of energy and aids in the absorption of fat-soluble vitamins. It is important for healthy cell function and hormone production.
Choices A, C, and D are incorrect because low-calorie, high vitamin C, and low-protein foods may not provide adequate nutrition for a growing child. Offering foods high in fat, but choosing healthy fats like avocados, nuts, and seeds, can support a child's overall health and development.
Extract:
A nurse is assessing a school-age child who is receiving cefazolin.
Question 4 of 5
For which of the following adverse effects should the nurse monitor?
Correct Answer: A
Rationale: The correct answer is A: Nausea. Nurses should monitor for nausea as it is a common adverse effect of many medications and can impact a patient's well-being. Nausea can lead to decreased oral intake and affect medication adherence. Constipation (
B) and increased appetite (
D) are not typically considered adverse effects that nurses need to monitor. Hypertension (
C) may be monitored for certain medications, but it is not a general adverse effect to monitor for all patients.
Extract:
A nurse is caring for a school-age child following a femoral venous cardiac catheterization.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Keep the affected extremity straight for 4 hr. This action helps prevent bleeding or hematoma formation at the catheterization site by maintaining pressure on the vessel.
Choice A is incorrect because sterile dressing changes are typically done immediately after the procedure, not 8 hours later.
Choice C is important but not the immediate priority after catheterization.
Choice D is unnecessary as patients can resume normal diet post-procedure.