ATI RN
ATI RN Pediatrics Nursing 2023 New Questions
Extract:
The nurse is taking care of a child with scabies.
Question 1 of 5
Which primary clinical manifestation should the nurse expect to assess with this disease?
Correct Answer: B
Rationale: The correct answer is B: Pruritus. Pruritus, or itching, is a primary clinical manifestation of the disease. It is a common symptom associated with various skin conditions and can help in diagnosing the underlying issue. Redness (choice
A) may indicate inflammation, but it is not specific to this disease. Edema (choice
C) refers to swelling due to fluid retention and is not typically a primary manifestation of this disease. Maceration (choice
D) is softening or breaking down of the skin due to excessive moisture, which is not directly related to the primary clinical manifestations of this disease.
Extract:
A nurse is caring for a 6-month-old Infant with a diagnosis of Tetralogy of Fallot (TOF) who is experiencing a hypercyanotic spell. The Infant is lethargic and has a weak cry.
Question 2 of 5
What is the priority nursing action for this Infant?
Correct Answer: D
Rationale: The correct answer is D: Place the infant in a knee to chest position. This position helps relieve gas and abdominal distension in infants, which can cause discomfort and crying. By positioning the infant in knee to chest, it helps to expel trapped gas and alleviate the discomfort. Administering morphine sulfate (choice
A) is not recommended as the first action without addressing the cause of distress. Providing supplemental oxygen (choice
B) is not necessary if the issue is gas-related. Offering a pacifier (choice
C) may temporarily distract the infant but does not address the underlying issue.
Extract:
A nurse is caring for a 13-year-old with a tibia, fibula fracture, what is the priority assessment after a cast has been applied?
Question 3 of 5
Assess the client's ability to use crutches
Correct Answer: C
Rationale: The correct answer is C: Assess range of motion of the knee and hip. This is crucial in determining the client's physical capability to use crutches effectively. Limited range of motion may hinder proper crutch use. Assessing body image (
A) is important for psychological well-being but not directly related to crutch use. Assessing pain (
B) is important but does not directly evaluate the client's physical ability to use crutches. Options D, E, F, and G are not provided, as they are not relevant to the question.
Extract:
A nurse is assessing a five-month-old Infant.
Question 4 of 5
The nurse should recognize that which of the following manifestations is associated with a central nervous system (CNS) Infection?
Correct Answer: C
Rationale: The correct answer is C: Bulging fontanel. This is associated with a CNS infection due to increased intracranial pressure. A bulging fontanel indicates fluid accumulation in the brain, a common manifestation of CNS infection. Oliguria (
A) is decreased urine output and is not specific to CNS infection. Negative Kernig's sign (
B) and Negative Brudzinski sign (
D) are both signs of meningeal irritation, not specific to CNS infection. In summary, a bulging fontanel is a key indicator of CNS infection due to increased intracranial pressure, making it the correct choice.
Extract:
The nurse is admitting a child with rheumatic fever.
Question 5 of 5
Which therapeutic management should the nurse expect to Implement?
Correct Answer: A
Rationale: The correct answer is A: Administering penicillin. Penicillin is the recommended treatment for rheumatic fever to eradicate the streptococcal infection that triggers the condition. Administering corticosteroids (choice
B) may be considered for chorea symptoms but not as the primary therapeutic management. Avoiding salicylates (choice
C) is recommended to prevent Reye's syndrome but is not the main treatment for rheumatic fever. Imposing strict bed rest (choice
D) may be necessary for acute carditis but is not the primary therapeutic management for rheumatic fever.