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ATI Mental Health Questions and Answers 2024(A+ Rated) (1)_1
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ATI PN Nursing Care of Children Practice(A+Solutions)2024
A nurse is assisting with a sterile dressing change for an adolescent who has a partial
thickness burn on the right hip. Which of following actions should the nurse take first?
a. Open the sterile dressing tray.
b. Administer pain medication to the client.
c. Assist the client into the left lateral position.
d. Remove the previous dressing to inspect the wound. - ANS-Administer pain
medication to the client.
Rationale: According to evidence-based practice, the nurse should first provide pain
medication to the client to reduce discomfort during the procedure.
A nurse is reviewing the laboratory report of a preschooler. Which of the following
laboratory results should the nurse report to the provider?
a. Potassium 4.2 mEq/L
b. Lead 14 mcg/dL
c. Fasting blood glucose 75 mg/dL
d. Hematocrit 40% - ANS-Lead 14 mcg/dL
Rationale: This lead level is above the expected reference range for a preschooler.
Therefore, the nurse should report this result to the provider.
A nurse is reinforcing teaching with an adolescent female client who has acne vulgaris
and a new prescription for isotretinoin. Which of the following information should the
nurse include?
a."You should apply this medication to the affected skin twice daily." b. "You will need to
have two negative pregnancy tests prior to starting this medication." c. "Your provider
will prescribe a vitamin A supplement to take with each dose of this medication."
d. "Your provider will monitor your kidney function while you are taking this medication."
- ANS-"You will need to have two negative pregnancy tests prior to starting this
medication."
,Rationale: The nurse should reinforce with the client that isotretinoin is teratogenic.
Pregnancy must be ruled out prior to administration and before each subsequent refill.
The client should use two effective forms of contraception while taking this medication.
A nurse in a pediatric clinic is collecting data from an infant who was recently exposed
to pertussis. The nurse should recognize which of the following as a manifestation of
pertussis?
a. dry cough
b. abdominal pain
c. muscle stiffness
d. swollen eyelids - ANS-dry cough
Rationale: The nurse should identify that a dry cough is an early manifestation of
pertussis.
A nurse in a clinic is collecting data from an adolescent who has received all
recommended immunizations through the age of 6 years. Which of the following
immunizations should the nurse plan to administer?
a. Haemophilus influenza type b (Hib)
b. Rotavirus (RV)
c. Polio (IPV)
d. Tetanus, diphtheria toxoids, and acellular pertussis (Tdap) - ANS-Tetanus, diphtheria
toxoids, and acellular pertussis (Tdap)
Rationale: The Tdap vaccine is recommended between the ages of 11 and 12
years. Therefore, this adolescent should receive the Tdap vaccine now.
A nurse is assisting with the care of a child who has tonic-clonic seizures. Which of the
following actions should the nurse take?
a. Place a padded tongue blade at the bedside.
b. Have a suction canister and tubing available in the room.
c. Ensure the availability of soft extremity restraints.
d. Keep the child's bed in the highest position. - ANS-Have a suction canister and tubing
available in the room.
Rationale: The nurse should have a suction canister and tubing available in the child's
room to keep the child's airway patent during a seizure.
, A nurse in a pediatric clinic is observing for an anaphylactic reaction after administering
an IM antibiotic to a child 5 min ago. Which of the following manifestations should the
nurse expect to observe first?
a. Hives
b. Angioedema
c. Wheezing
d. Hypotension - ANS-Hives
Rationale: The nurse should observe for hives first because this is an early
manifestation of an anaphylactic reaction.
A nurse is reinforcing teaching with the guardian of a child who has a new diagnosis of
enterobiasis. The nurse should advise the guardian to take which of the following
actions to prevent infection?
a. Dress the child in two-piece sleeping outfits.
b. Trim the child's fingernails short.
c. Have the child take a tub bath daily.
d. Repeat treatment in 4 weeks. - ANS-Trim the child's fingernails short.
Rationale: The nurse should instruct the guardian to trim the child's fingernails short to
reduce the collection of eggs under their nails and prevent reinfection.
A nurse is caring for an adolescent client who is experiencing sickle cell crisis. Which of
the following laboratory values should the nurse report to the provider?
a. Total bilirubin 0.5 mg/dL
b. Hgb 6 g/dL
c. WBC count 8,000/mm3
d. Reticulocyte count 1% - ANS-Hgb 6 g/dL
Rationale: The expected reference range for an adolescent's Hgb level is 10 to 15.5
g/dL. Therefore, an Hgb of 6 g/dL is below the expected reference range and should be
reported to the provider.
A nurse is reinforcing teaching with the guardian of an infant who has Down syndrome.
Which of the following instructions should the nurse include to decrease the child's risk
of an upper respiratory infection?
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