ATI Peds ATI 2019 B with NGN| Questions and Answers with Rationales| Latest Update 2023

ATI Peds ATI 2019 B with NGN| Questions and Answers with Rationales| Latest Update 1. A nurse is providing teaching to an adolescent about how to manage tinea pedis. Which of the following statements by the adolescent indicates an understanding of the teaching? A. "I should buy plastic shoes to wear at the swimming pool. " B. "I should wear sandals as much as possible. " C. "I should place the permethrin cream between my toes twice daily. " D. "I should seal my non washable shoes in plastic bags for a couple of weeks. " ~ Answer: B R "I should buy plastic shoes to wear at the swimming pool. " the use of plastic shoes increases the occurrence of tinea pedis. the nurse should instruct the adolescent to avoid wearing plastic shoes. R "I should wear sandals as much as possible. "MY answer sandals allow air to circulate around the feet, decreasing perspiration and eliminating the medium for bacteria and fungus to grow. the nurse should inform the adolescent that wearing sandals, open-toed, or well-ventilated shoes will promote healing of the fungal infection. R "I should place the permethrin cream between my toes twice daily. "Permethrin 5% cream is a scabicide used to treat scabies. This treatment is not indicated for tinea pedis. R "I should seal my non washable shoes in plastic bags for a couple of weeks. "Sealing non washable items in plastic bags for 14 days is a recommended practice for clients who have pediculosis. This practice is not indicated for tinea pedis. 2. A nurse is caring for a school age child who has diabetes mellitus and was admitted with a diagnosis of diabetic ketoacidosis. When performing the respiratory assessment, which of the following findings should the nurse expect? A. Deep respirations of 32/min B. Shallow respirations of 10/min C. Paradoxic respirations of 26/min D. Periods of apnea lasting for 20 seconds ~ Answer: A R the nurse should expect Kussmaul respirations in a child who has diabetic ketoacidosis. these deep and rapid respirations are the body's attempt to eliminate excess carbon dioxide and achieve a state of homeostasis. R the nurse should expect shallow respirations in a child who has respiratory depression related to opioid administration. However, shallow respirations are not an expected finding in a child who has ketoacidosis. R the nurse should expect paradoxic respirations in a child who has flail chest. However, paradoxic respirations are not an expected finding in a child who has ketoacidosis. R the nurse should expect periods of apnea lasting 20 seconds or more in a child who has sleep apnea. However, periods of apnea are not an expected finding in a child who has ketoacidosis. 3. A nurse is assessing a 6 month old infant during a well child visit. Which of the following findings should the nurse report to the provider? A. Presence of a central incisor tooth B. Presence of strabismus C. Presence of an open anterior fontanel D. Presence of external cerumen ~ Answer: B R the nurse should recognize that the presence of a central incisor tooth is an expected finding for a 6-month-old infant and is not necessary to report to the provider. R Strabismus, or crossing of the eyes, typically disappears at 3 to 4 months of age. If not corrected early, this can lead to blindness. therefore, the nurse should report this finding to the provider. R the nurse should recognize that the presence of an open anterior fontanel is an expected finding for a 6-month-old infant and is not necessary to report to the provider. the anterior fontanel generally closes around 12 months of age. R the nurse should recognize that the presence of cerumen, which is a soft, yellow-brown waxy substance found in the ear, is an expected finding for a 6-month-old infant and is not necessary to report to the provider. 4. A charge nurse is preparing to make a room assignment for a newly admitted school age child. Which of the following considerations is the nurse's priority? A. Length of stay B. Treatment schedule C. Disease process D. Self-care ability ~ Answer: C R It is important for the nurse to consider the child's anticipated length of stay because some client rooms might be larger, and thus more comfortable for families during long hospitalizations. However, this is not the nurse's priority consideration. R It is important for the nurse to consider the child's treatment schedule when making room assignments because children requiring frequent monitoring and treatment should be assigned a room close to the nurses' station, if possible. However, this is not the nurse's priority consideration. R the transmission of infectious diseases is the greatest risk to this child and o ther children on the unit. therefore, the child's disease process is the nurse's priority consideration. R It is important for the nurse to consider the child's self-care ability when making room assignments because children who require more assistance from nurses or assistive personnel should be assigned a room close to the nurses' station, if possible. However, this is not the nurse's priority consideration. 5. A school nurse is caring for a child following a tonic-clonic seizure. Which of the following actions should the nurse take first? A. Check the child for a head injury B. Observe for oral bleeding C. Check the child's respiratory rate D. Observe for extremity weakness ~ Answer: C R A tonic-clonic seizure is characterized by symmetric contraction and intense jerking movements of the child's body. If the child is standing or sitting in a chair, they will fall to the ground and a head injury can potentially occur. therefore, it is important to check for a head injury following a tonic-clonic seizure; however, this is not the first action the nurse should take. R During a tonic-clonic seizure, a child can lose muscle control and bite down on their tongue. It is important to check for oral bleeding following a tonic-clonic seizure; however, this is not the first action the nurse should take. R When using the airway, breathing, and circulation approach to client care, the nurse should determine the priority action is to assess the child's respiratory rate. If the child is not breathing, the nurse should administer rescue breaths. R the client might experience extremity weakness due to intense jerking movements following a tonic-clonic seizure; however, this is not the first action the nurse should take.