ATI RN
ATI RN Pediatrics Nursing 2023 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. Medication Administration Record: Diphenhydramine 10 mg PO 4 times per day, Pimecrolimus 1% cream apply to skin lesions daily. 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:
Correct Answer: A, B, D, F, G
Rationale:
A: Cutting and filing the child's fingernails frequently can help prevent scratching and further irritation of the skin.
B: Using a mild detergent for the child's laundry can help reduce potential skin irritation from harsh chemicals.
D: Informing the guardian about occasional flare-ups prepares them for potential worsening of the condition.
F: Applying gloves to the child's hands can prevent scratching and help protect the lesions from further irritation.
G: Applying emollients to the child's skin after bathing helps moisturize and soothe the skin, reducing dryness and itching.
Incorrect
Choices:
C: Pimecrolimus cream is a prescription medication and should not be included in general discharge instructions.
E: Incorrect, the child's condition is not contagious unless specified by a healthcare provider.
Extract:
Question 2 of 5
A nurse is caring for a 5-year-old child following a tonsillectomy and adenoidectomy. Which of the following findings should the nurse identify as an indication of hemorrhage?
Correct Answer: D
Rationale: The correct answer is D: Continuous swallowing. Following a tonsillectomy and adenoidectomy, continuous swallowing can indicate hemorrhage as the child may be swallowing blood. This finding is crucial as it can lead to airway compromise and further complications.
A: Heart rate 54/min is not necessarily indicative of hemorrhage in this context.
B: Flushing of the face could be a sign of fever or anxiety, not necessarily hemorrhage.
C: Blood pressure 95/56 mm Hg alone may not be a clear indication of hemorrhage in this case.
Extract:
A nurse is caring for a child who is receiving conditioning therapy for enuresis.
Question 3 of 5
Which of the following statements by the child's parent indicates the treatment is effective?
Correct Answer: C
Rationale: The correct answer is C because it indicates the desired behavior change in response to the treatment for bedwetting. Going to the bathroom when the alarm goes off shows that the child is responding to the alarm by waking up and emptying their bladder, which is the goal of the treatment. This behavior demonstrates that the child is becoming more aware of their bladder signals and is actively participating in the treatment process.
Choice A is incorrect as holding urine is not a recommended behavior and can lead to bladder issues.
Choice B is unrelated to the effectiveness of the treatment for bedwetting.
Choice D is also incorrect as drinking less can worsen bedwetting by reducing bladder capacity.
Extract:
A nurse is caring for a 5-year-old child following a tonsillectomy and adenoidectomy.
Question 4 of 5
Which of the following findings should the nurse identify as an indication of hemorrhage?
Correct Answer: A
Rationale: The correct answer is A: Continuous swallowing. This finding indicates hemorrhage because blood pooling in the throat triggers the swallowing reflex. Continuous swallowing may suggest blood loss and the need for further assessment. Blood pressure of 95/56 mm Hg (choice
B) is low but alone may not specifically indicate hemorrhage. A heart rate of 54/min (choice
C) may be bradycardia but does not definitively point to hemorrhage. Flushing of the face (choice
D) is not a typical sign of hemorrhage.
Extract:
Nurse's Notes (0700 hrs): The client reports a sudden onset of severe abdominal pain that started 4 hours ago. He describes the pain as sharp and constant, located in the upper right quadrant of the abdomen. The client has vomited twice in the past hour, with the vomitus being greenish in color. He denies any recent trauma or injury. The client appears anxious and is clutching his abdomen. He has a history of hypertension and is currently on medication for it. The client denies any known allergies; Physical Examination Results (0700 hrs): The client is alert and oriented but appears to be in significant distress. His skin is pale and diaphoretic. The abdomen is distended and tender to palpation, especially in the upper right quadrant. There is guarding and rebound tenderness noted. Bowel sounds are hypoactive. The client exhibits mild jaundice, with yellowing of the sclera. There are no visible signs of trauma or bruising on the abdomen; Vital Signs (0700 hrs): Temperature: 38.3°C (100.9°F), Pulse: 110 beats per minute, Respiratory Rate: 24 breaths per minute, Blood Pressure: 150/90 mm Hg, Oxygen Saturation: 95% on room air; A nurse is caring for a 45-year-old male client in the emergency department who presented with severe abdominal pain and vomiting.
Question 5 of 5
Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D: Notify the healthcare provider immediately. This is the priority action because it involves seeking guidance from the healthcare provider to address the situation effectively. By notifying the healthcare provider, the nurse can ensure timely and appropriate intervention based on the client's condition. Administering pain medication (
A) can wait until the healthcare provider is informed. Preparing for an abdominal ultrasound (
B) and inserting a nasogastric tube (
C) are important but not urgent in this scenario.
Therefore, they can be done after notifying the healthcare provider.