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 the medical term for athlete’s foot, a fungal infection affecting the skin between the toes and on the soles of the feet.

🧫It’s commonly caused by dermatophytes, which thrive in warm, moist environments, especially communal showers or locker rooms.

📋The condition causes itching, burning, scaling, and sometimes cracking of the skin, making it uncomfortable but treatable with antifungal medications.

🚫It is not related to valley fever (fungal lung infection), fever blisters (herpes simplex virus), or shingles (herpes zoster).

📌Core message

Tinea pedis is commonly referred to as athlete’s foot, a fungal skin infection of the feet.

Answer 2

Correct Answers:

Perform gastric lavage with activated charcoal.

Rationale :

🧪In cases of aspirin (acetylsalicylic acid) overdose, gastric lavage followed by activated charcoal is used to limit absorption of the toxin.

⛔Inducing vomiting with ipecac is outdated and can lead to aspiration; it is no longer recommended in poisoning protocols.

💉Deferoxamine is used for iron poisoning, not aspirin toxicity.

🧴Acetylcysteine is an antidote for acetaminophen (Tylenol) overdose, not aspirin.

📌Core message

Treat aspirin toxicity with gastric lavage and activated charcoal to reduce drug absorption.

Answer 3

Correct Answers:

Influenza, live attenuated (I-AIV)

Rationale :

🦠LAIV (nasal spray flu vaccine) is contraindicated in children with egg allergies, as the virus is grown in egg-based mediums.

🧬Severe allergic reactions are rare but possible, so egg-allergic clients should receive inactivated forms when necessary.

💉Hib, HepB, and IPV vaccines do not contain egg protein, making them safe for egg-allergic children.

📋Always assess for allergies and contraindications before administering vaccines.

📌Core message

Live attenuated influenza vaccine (LAIV) should be avoided in clients with egg allergies.

Answer 4

Correct Answers:

Feelings of isolation

Rationale :

⚠️Isotretinoin (Accutane) is linked to severe psychiatric side effects, including depression, suicidal ideation, and mood changes.

🧠A report of isolation may signal worsening mental health and requires immediate provider notification.

📋While itching, nosebleeds, and back pain are common side effects, psychological symptoms are priority due to potential harm.

🔎Clients on isotretinoin must be closely monitored and often enrolled in iPLEDGE programs to prevent misuse and ensure safety.

📌Core message

Feelings of isolation or depression while taking isotretinoin must be immediately reported due to risk of mental health crisis.

Answer 5

Correct Answers:

Tugging on the affected ear lobe

Rationale :

🦻Otitis media, or middle ear infection, causes ear pain, pressure, and inflammation, leading toddlers to tug at their ears as a response to discomfort.

🩺Unlike otitis externa, there is no pain with manipulation of the outer ear.

🚫Clear drainage from the ear may indicate perforation or another condition, not typical otitis media.

📋Other signs include fever, irritability, and trouble sleeping or eating.

📌Core message

Ear tugging is a common sign of otitis media in young children, indicating inner ear pain.

Answer 6

Correct Answers:

Place the child in an upright position.

Rationale :

🪑In suspected epiglottitis, the priority is to maintain a patent airway by keeping the child upright to reduce obstruction.

🚫Throat examination or cultures are contraindicated as they may trigger complete airway closure.

📋Radiology may be ordered but should only be done if the child is stable and the airway is secure.

📞Always be prepared for emergency airway management with tracheostomy or intubation.

📌Core message

In epiglottitis, place the child upright to prevent airway obstruction and avoid invasive exams.

Answer 7

Correct Answers:

Provide a latex-free environment.

Rationale :

⚠️Children with spina bifida, especially those with myelomeningocele, have a high risk of latex allergy, so all care items must be latex-free.

🛏️They should be placed prone to avoid pressure on the exposed sac before surgical repair.

🚫Contact precautions are unnecessary unless infection is suspected, and visitor limits are not standard unless medically indicated.

📋A latex-free environment helps prevent anaphylactic reactions and long-term sensitivity.

📌Core message

For infants with spina bifida, always ensure a latex-free environment to prevent severe allergic reactions.

Answer 8

Correct Answers:

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

Rationale :

📛Pancreatic enzymes must be given with or immediately before meals/snacks to aid in digestion, not between meals.

🍏Mixing enzymes with applesauce is appropriate for children who cannot swallow capsules.

💩The enzymes assist with fat and protein digestion, which is critical for nutrition in cystic fibrosis.

📋Mothers should be educated on timing, administration methods, and expected benefits.

📌Core message

Pancreatic enzymes should be administered before meals, not between, to support digestion in CF.

Answer 9

Correct Answers:

Notify the provider

Rationale :

📉A 3-year-old child weighing 33 kg should have a minimum urine output of over 1 mL/kg/hr, meaning at least 264 mL in 8 hours is expected.

💧An output of only 160 mL is critically low and may indicate renal dysfunction, dehydration, or urinary retention.

🔍Further monitoring is not enough; this requires immediate provider notification for further evaluation.

📋Low output can also signal early shock or renal injury.

📌Core message

Oliguria in children requires prompt provider notification to assess for renal compromise or dehydration.

Answer 10

Correct Answers:

Hold the infant's chin to his chest and knees to his abdomen during the procedure.

Rationale :

💉This flexed position opens the lumbar spaces and stabilizes the infant during a lumbar puncture, allowing safe needle insertion.

🪑Infants should be held securely and gently by staff or caregivers to prevent movement.

🚫Eutectic cream needs at least 30-60 minutes to be effective, and NPO is not required.

🛌Placing in an infant seat post-procedure is not necessary and does not prevent complications.

📌Core message

During lumbar puncture, hold the infant in a chin-to-chest/knees-to-abdomen position for safe access.

ATI Paediatrics Final Exam-2

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?

ATI Paediatrics Final Exam-2

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?