Question

A nurse is caring for a child who has tinea pedis. The child's parent asks the nurse what this infection is commonly called. The nurse responds with which of the following common names?

Answer 1

Correct Answers:

Athlete's foot

Rationale :

🔹 Tinea pedis is a fungal infection of the feet, often occurring between the toes.

🔹 It is commonly known as athlete’s foot, especially in children or individuals with damp footwear.

🔹 It is caused by dermatophyte fungi, typically Trichophyton rubrum.

🔹 Symptoms include itching, burning, scaling, and redness of the foot.

🔹 Treatment involves topical antifungals like clotrimazole or terbinafine.

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Answer 2

Correct Answers:

Perform gastric lavage with activated charcoal.

Rationale :

♦ Acetylsalicylic acid (aspirin) overdose can lead to metabolic acidosis and organ toxicity.

♦ Activated charcoal helps bind the drug and limits absorption in the GI tract.

♦ Gastric lavage is effective if done within 1 hour of ingestion and followed by charcoal.

♦ Ipecac syrup is no longer recommended due to potential aspiration and prolonged action.

♦ Deferoxamine treats iron toxicity, and N-acetylcysteine is used for acetaminophen overdose.

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Answer 3

Correct Answers:

Influenza, live attenuated (I-AIV)

Rationale :

💎 The live attenuated influenza vaccine is contraindicated in clients with egg allergy.

💎 It is usually administered intranasally and derived from egg-based processes.

💎 Other vaccines like Hib, IPV, and HepB are generally safe for those with egg allergy.

💎 Egg allergy can lead to anaphylaxis with certain live vaccines.

💎 Alternatives like inactivated influenza vaccine in an egg-free formulation are available.

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Answer 4

Correct Answers:

Feelings of isolation

Rationale :

✳️ Isotretinoin (Accutane) carries a black box warning for causing depression and suicidal ideation.

✳️ Feelings of isolation, mood changes, or suicidal thoughts must be reported immediately.

✳️ Other symptoms like dry skin, joint pain, or nosebleeds are common but not priority.

✳️ Monitoring for mental health changes is essential during therapy.

✳️ The client should be screened and supported psychologically during treatment.

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Answer 5

Correct Answers:

Tugging on the affected ear lobe

Rationale :

🟢 Otitis media often presents with ear pain, and young children show this by tugging or pulling at the ear.

🟢 It is associated with fever, irritability, and sometimes hearing loss.

🟢 The tympanic membrane may appear red, bulging, and immobile on otoscopy.

🟢 External symptoms like lobe pain or drainage suggest otitis externa, not media.

🟢 Treatment usually involves analgesics and antibiotics if bacterial.

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Answer 6

Correct Answers:

Place the child in an upright position.

Rationale :

⚪ Epiglottitis is a medical emergency causing airway obstruction.

⚪ Upright positioning promotes easier breathing and helps prevent complete obstruction.

⚪ Do not attempt to visualize the throat or take cultures, as it can trigger laryngospasm.

⚪ Diagnostic imaging is only done if the airway is stable and in controlled conditions.

⚪ Immediate preparations should be made for airway management and intubation.

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Answer 7

Correct Answers:

Provide a latex-free environment.

Rationale :

🔵 Children with spina bifida have a high risk of latex allergy due to frequent exposure to latex-containing equipment.

🔵 Use non-latex gloves, catheters, and other materials to prevent reactions.

🔵 Supine positioning can put pressure on the myelomeningocele sac, so prone is preferred preoperatively.

🔵 Contact precautions are not required unless there’s infection risk.

🔵 Education and care must focus on infection prevention and protecting the sac.

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Answer 8

Correct Answers:

"l will give my son the enzymes between meals."

Rationale :

🔶 Pancreatic enzymes should be administered with meals and snacks, not between meals.

🔶 These enzymes assist in the digestion and absorption of fats, proteins, and carbohydrates.

🔶 They can be mixed with soft acidic foods like applesauce, but not hot foods or milk.

🔶 Adverse effects are rare but may include GI upset or perianal irritation.

🔶 Proper timing ensures nutrient absorption and weight maintenance in cystic fibrosis.

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Answer 9

Correct Answers:

Notify the provider

Rationale :

🟣 Expected urine output for a child is 1–2 mL/kg/hr.

🟣 This child weighs 33 kg, and should have a minimum of 264 mL in 8 hours (1 mL/kg/hr × 33 kg × 8 hr).

🟣 Only 160 mL was produced, indicating oliguria, which may suggest dehydration or renal impairment.

🟣 Immediate notification is necessary for potential intervention.

🟣 Monitoring alone without escalation could delay needed treatment.

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Answer 10

Correct Answers:

Place the infant in an infant seat for 2 hr following the procedure.

Rationale :

⚫ The lumbar puncture position in infants is critical for accurate collection and safety.

⚫ The child is placed side-lying or sitting, with back arched, chin to chest, and knees to abdomen.

⚫ Topical anesthetics like EMLA cream require at least 30–60 minutes for effectiveness.

⚫ Infants are not kept NPO for hours before LP; sedation is not required in most cases.

⚫ Proper positioning widens the vertebral spaces for needle insertion.

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RN ATI Pediatrics Final Exam~2023

No.

1 :
A nurse is caring for a child who has tinea pedis. The child's parent asks the nurse what this infection is commonly called. The nurse responds with which of the following common names?

2 :
A nurse is planning care for a client who ingested a large amount of acetylsalicylic acid. Which of the following actions should the nurse take?

3 :
A nurse is providing care to a child who has an allergy to eggs. The nurse should question a prescription for which of the following?

4 :
A nurse is providing teaching to a 17-year-old female client who has severe acne about the use of isotretinoin. Which of the following effects should the nurse instruct the client is the priority to report to the provider?

5 :
A nurse is caring for a child who has otitis media. Which of the following assessment findings should the nurse expect?

6 :
A nurse is planning care for a child who has suspected epiglottitis. Which of the following actions should the nurse take?

7 :
A nurse is planning care for an infant who has spina bifida and isto undergo surgical closure of the myelomeningocele sac? Which interventions should the nurse include in the plan of care?

8 :
A nurse is teaching the mother of a 5-year-old child who has cystic fibrosis about pancreatic enzymes. The nurse should understand that teaching is necessary when the mother states which of the following?

9 :
A nurse is caring for a 3-year-old child who has had 160 mL of urine output over the past 8 hr period. The child weighs 33kgs. Which actions should the nurse take?

10 :
A nurse is planning care for a 5-month-old infant who is scheduled for a lumbar puncture to rule out meningitis. Which of the follow should the nurse include in the plan of care?

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RN ATI Pediatrics Final Exam~2023

No.

1 : A nurse is caring for a child who has tinea pedis. The child's parent asks the nurse what this infection is commonly called. The nurse responds with which of the following common names?

2 : A nurse is planning care for a client who ingested a large amount of acetylsalicylic acid. Which of the following actions should the nurse take?

3 : A nurse is providing care to a child who has an allergy to eggs. The nurse should question a prescription for which of the following?

4 : A nurse is providing teaching to a 17-year-old female client who has severe acne about the use of isotretinoin. Which of the following effects should the nurse instruct the client is the priority to report to the provider?

5 : A nurse is caring for a child who has otitis media. Which of the following assessment findings should the nurse expect?

6 : A nurse is planning care for a child who has suspected epiglottitis. Which of the following actions should the nurse take?

7 : A nurse is planning care for an infant who has spina bifida and isto undergo surgical closure of the myelomeningocele sac? Which interventions should the nurse include in the plan of care?

8 : A nurse is teaching the mother of a 5-year-old child who has cystic fibrosis about pancreatic enzymes. The nurse should understand that teaching is necessary when the mother states which of the following?

9 : A nurse is caring for a 3-year-old child who has had 160 mL of urine output over the past 8 hr period. The child weighs 33kgs. Which actions should the nurse take?

10 : A nurse is planning care for a 5-month-old infant who is scheduled for a lumbar puncture to rule out meningitis. Which of the follow should the nurse include in the plan of care?

1 :
A nurse is caring for a child who has tinea pedis. The child's parent asks the nurse what this infection is commonly called. The nurse responds with which of the following common names?

2 :
A nurse is planning care for a client who ingested a large amount of acetylsalicylic acid. Which of the following actions should the nurse take?

3 :
A nurse is providing care to a child who has an allergy to eggs. The nurse should question a prescription for which of the following?

4 :
A nurse is providing teaching to a 17-year-old female client who has severe acne about the use of isotretinoin. Which of the following effects should the nurse instruct the client is the priority to report to the provider?

5 :
A nurse is caring for a child who has otitis media. Which of the following assessment findings should the nurse expect?

6 :
A nurse is planning care for a child who has suspected epiglottitis. Which of the following actions should the nurse take?

7 :
A nurse is planning care for an infant who has spina bifida and isto undergo surgical closure of the myelomeningocele sac? Which interventions should the nurse include in the plan of care?

8 :
A nurse is teaching the mother of a 5-year-old child who has cystic fibrosis about pancreatic enzymes. The nurse should understand that teaching is necessary when the mother states which of the following?

9 :
A nurse is caring for a 3-year-old child who has had 160 mL of urine output over the past 8 hr period. The child weighs 33kgs. Which actions should the nurse take?

10 :
A nurse is planning care for a 5-month-old infant who is scheduled for a lumbar puncture to rule out meningitis. Which of the follow should the nurse include in the plan of care?