ATI RN
ATI RN Pediatrics Nursing 2023 I Questions
Extract:
A nurse is providing teaching to an adolescent who has vulvovaginitis.
Question 1 of 5
Which of the following statements should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Apply a warm, moist compress three times per day. This statement should be included in teaching because it promotes wound healing by increasing blood flow and promoting drainage. A: Scented baby powder can cause irritation and should be avoided. C: Feminine deodorant pads can disrupt the natural pH balance of the vagina. D: Nylon underwear can trap moisture and lead to infection.
Extract:
A nurse is assessing the coping skills of the guardian of a child who has a terminal cancer.
Question 2 of 5
Which of the following statements by the guardian demonstrates positive adjustment?
Correct Answer: B
Rationale: The correct answer is B because the guardian is actively seeking information on a new treatment option, showing proactive behavior and a willingness to explore different options for the child's well-being. This demonstrates positive adjustment by taking steps to improve the child's health.
Incorrect choices:
A: This statement reflects guilt and self-blame, indicating negative adjustment.
C: Keeping the child's diagnosis from the family may hinder support and communication, indicating maladaptive behavior.
D: Expressing uncertainty about caring for a dying child suggests a lack of preparedness and coping skills, indicating negative adjustment.
Extract:
A nurse is preparing to insert a peripheral intravenous (IV) catheter for a preschooler.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action is C: Apply vapocoolant spray before the IV insertion. This helps numb the area, reducing pain during catheter placement. Asking the child to hold their breath (
A) is unnecessary and may cause anxiety. Explaining the procedure (
B) is important but does not directly impact pain management. Placing the IV in the dominant arm (
D) is not recommended as it may restrict movement post-insertion.
Extract:
A nurse is planning a staff in-service about infection control measures to prevent the spread of influenza in school-age children.
Question 4 of 5
Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: "Wear a face mask when working within 3 feet of a child who is infected." This instruction is important in preventing the spread of infectious diseases like influenza. Wearing a face mask helps to reduce the risk of inhaling respiratory droplets containing the virus. It is a crucial infection control measure for healthcare workers to protect themselves and others.
Choice B is incorrect because administering antibacterial medication is not the standard treatment for influenza, which is caused by a virus, not bacteria.
Choice C is incorrect as children are typically considered infectious for around 5-7 days, not 14 days.
Choice D is incorrect as the influenza vaccine is typically administered annually, not every 6 months.
Extract:
A nurse is assessing a school-age child prior to administering digoxin.
Question 5 of 5
For which of the following findings should the nurse withhold the medication?
Correct Answer: C
Rationale: The correct answer is C: Heart rate 64/min. A heart rate of 64/min is below the normal range (60-100/min) for adults, indicating bradycardia, which can be a sign of decreased cardiac output. The nurse should withhold medication that can further lower the heart rate and worsen the condition.
A: Urine output 25 mL/hr is low but not necessarily a reason to withhold medication.
B: Oxygen saturation 88% is below the normal range (95-100%) but is not a direct contraindication to withhold medication.
D: Respiratory rate 18/min is within the normal range (12-20/min) and not a reason to withhold medication.