ATI RN Pediatric Nursing Online Practice
Quiz_________________?
A hospice nurse is caring for a preschooler who has a terminal illness. One of the
preschooler's parents tells the nurse that they cannot cope anymore and are thinking about
moving out of the house. Which of the following statements should the nurse make? -
Answer✅
-"Let's talk about some of the ways you have handled previous stressors in your life."
Rationale: This statement offers a general lead to allow the parent to express their feelings
and previous actions when faced with stressful situations. It also helps the parent to focus
on ways that they can cope with the current situation.
Quiz_________________?
A nurse in a provider's office is caring for a preschooler. Which of the following statements
by a guardian indicate that the discharge teaching was effective?
Select all that apply. -
Answer✅
-"We should apply a skin emollient immediately after bathing out child."
Rationale: An emollient is an oil that moisturizes the skin and should be applied immediately
after bathing, while the skin is damp, to prevent drying. Therefore this statement by the
guardian indicates the teaching has been effective.
-"We should keep our child's fingernails trimmed short."
1
, Rationale: The child's fingernails and toenails should be kept short, trimmed, and filed to
prevent scratching with sharp edges. Therefore this statement by the guardian indicates the
teaching has been effective.
-"We should use a mild detergent for our laundry."
Rationale: The use of mild detergents for laundry helps prevent allergens and itching.
Therefore this statement by the guardian indicates the teaching has been effective.
Quiz_________________?
A nurse in a provider's office is caring for a school-age child who has varicella. The parent
asks the nurse when their child will no longer be contagious. Which of the following
responses should the nurse make? -
Answer✅
-"When your child's lesions are crusted, usually 6 days after they appear."
Rationale: The nurse should inform the parent that the child is contagious 1 day prior to
lesion eruption and until the vesicles have crusted over, which usually takes about 6 days.
Quiz_________________?
A nurse in an emergency department is caring for a 4-year-old child who was rescued from
a home fire by emergency medical services (EMS). The nurse should identify that which of
the following findings require immediate follow-up?
Select the 3 findings that require immediate follow-up. -
Answer✅
-Partial- and full-thickness burns to the left upper anterior chest and anterior neck
Rationale: Airway, breathing, and circulation are the immediate concerns. Burns to the chest
and neck require immediate follow-up due to a concern for inhalation injury. In addition, the
edema of the tissue in the neck can compromise the airway and severe burns to the chest
can impede the child's ability to expand their chest during inspiration, causing respiratory
distress.
-SaO2 89% on room air
2
, Rationale: Airway, breathing, and circulation are the immediate concerns. The nurse should
immediately follow-up on the low oxygen saturation level. Hypoxia can be a manifestation of
respiratory distress or shock. Therefore, this finding needs immediate attention.
-Heart rate 150/min
Rationale: Airway, breathing, and circulation are the immediate concerns. The nurse should
immediately follow-up on the child's increased heart rate. Tachycardia is a manifestation of
shock. Children with major burns can develop hypovolemic shock due to fluid loss.
Quiz_________________?
A nurse in an emergency department is caring for a 4-year-old child who was rescued from
a home fire by emergency medical services (EMS). Which of the following potential provider
prescriptions should the nurse identify as anticipated or contraindicated? -
Answer✅
-Apply sterile gauze soaked with cool 0.9% sodium chloride to the burn areas:
Contraindicated
-Insert an indwelling urinary catheter: Anticipated
-Provide 100% oxygen via face mask: Anticipated
-Weigh the child: Anticipated
Rationale: Applying sterile gauze soaked with cool 0.9% sodium chloride to a child who has
18% TBSA might cause hypothermia. The nurse should cover the burn with a clean, dry
cloth to prevent contamination and hypothermia. Inserting an indwelling urinary catheter is
essential and allows for accurate measurement of urine output. Urine output is an indicator
of the fluid status of the child. A child who has major burns will lose a significant amount of
fluid due to increased capillary permeability, which increases the risk for hypovolemic shock.
It is important to maintain accurate hourly I&O to manage fluid replacement. Upon
admission to the emergency department, the nurse should recognize the need to provide
100% oxygen via face mask as an essential prescription. The child's SaO2 is below the
expected reference range and their respiratory rate is increased. The nurse should
recognize the need to weigh the child as essential. Children of the same age weigh different
3
Quiz_________________?
A hospice nurse is caring for a preschooler who has a terminal illness. One of the
preschooler's parents tells the nurse that they cannot cope anymore and are thinking about
moving out of the house. Which of the following statements should the nurse make? -
Answer✅
-"Let's talk about some of the ways you have handled previous stressors in your life."
Rationale: This statement offers a general lead to allow the parent to express their feelings
and previous actions when faced with stressful situations. It also helps the parent to focus
on ways that they can cope with the current situation.
Quiz_________________?
A nurse in a provider's office is caring for a preschooler. Which of the following statements
by a guardian indicate that the discharge teaching was effective?
Select all that apply. -
Answer✅
-"We should apply a skin emollient immediately after bathing out child."
Rationale: An emollient is an oil that moisturizes the skin and should be applied immediately
after bathing, while the skin is damp, to prevent drying. Therefore this statement by the
guardian indicates the teaching has been effective.
-"We should keep our child's fingernails trimmed short."
1
, Rationale: The child's fingernails and toenails should be kept short, trimmed, and filed to
prevent scratching with sharp edges. Therefore this statement by the guardian indicates the
teaching has been effective.
-"We should use a mild detergent for our laundry."
Rationale: The use of mild detergents for laundry helps prevent allergens and itching.
Therefore this statement by the guardian indicates the teaching has been effective.
Quiz_________________?
A nurse in a provider's office is caring for a school-age child who has varicella. The parent
asks the nurse when their child will no longer be contagious. Which of the following
responses should the nurse make? -
Answer✅
-"When your child's lesions are crusted, usually 6 days after they appear."
Rationale: The nurse should inform the parent that the child is contagious 1 day prior to
lesion eruption and until the vesicles have crusted over, which usually takes about 6 days.
Quiz_________________?
A nurse in an emergency department is caring for a 4-year-old child who was rescued from
a home fire by emergency medical services (EMS). The nurse should identify that which of
the following findings require immediate follow-up?
Select the 3 findings that require immediate follow-up. -
Answer✅
-Partial- and full-thickness burns to the left upper anterior chest and anterior neck
Rationale: Airway, breathing, and circulation are the immediate concerns. Burns to the chest
and neck require immediate follow-up due to a concern for inhalation injury. In addition, the
edema of the tissue in the neck can compromise the airway and severe burns to the chest
can impede the child's ability to expand their chest during inspiration, causing respiratory
distress.
-SaO2 89% on room air
2
, Rationale: Airway, breathing, and circulation are the immediate concerns. The nurse should
immediately follow-up on the low oxygen saturation level. Hypoxia can be a manifestation of
respiratory distress or shock. Therefore, this finding needs immediate attention.
-Heart rate 150/min
Rationale: Airway, breathing, and circulation are the immediate concerns. The nurse should
immediately follow-up on the child's increased heart rate. Tachycardia is a manifestation of
shock. Children with major burns can develop hypovolemic shock due to fluid loss.
Quiz_________________?
A nurse in an emergency department is caring for a 4-year-old child who was rescued from
a home fire by emergency medical services (EMS). Which of the following potential provider
prescriptions should the nurse identify as anticipated or contraindicated? -
Answer✅
-Apply sterile gauze soaked with cool 0.9% sodium chloride to the burn areas:
Contraindicated
-Insert an indwelling urinary catheter: Anticipated
-Provide 100% oxygen via face mask: Anticipated
-Weigh the child: Anticipated
Rationale: Applying sterile gauze soaked with cool 0.9% sodium chloride to a child who has
18% TBSA might cause hypothermia. The nurse should cover the burn with a clean, dry
cloth to prevent contamination and hypothermia. Inserting an indwelling urinary catheter is
essential and allows for accurate measurement of urine output. Urine output is an indicator
of the fluid status of the child. A child who has major burns will lose a significant amount of
fluid due to increased capillary permeability, which increases the risk for hypovolemic shock.
It is important to maintain accurate hourly I&O to manage fluid replacement. Upon
admission to the emergency department, the nurse should recognize the need to provide
100% oxygen via face mask as an essential prescription. The child's SaO2 is below the
expected reference range and their respiratory rate is increased. The nurse should
recognize the need to weigh the child as essential. Children of the same age weigh different
3
