a nurse in a pediatric clinic is teaching a newly hired nurse about the varicella rooster which of the following information should the nurse include

ATI RN

ATI Fundamentals Proctored Exam

1. While teaching a newly hired nurse about varicella, a nurse in a pediatric clinic should include which of the following information?

A. Children who have varicella are contagious until vesicles are crusted.
B. Children who have varicella should receive the varicella (chickenpox) vaccine.
C. Children who have varicella should be placed in airborne precautions.
D. Children who have varicella are contagious 1-2 days before the rash appears.

Correct answer: A

Rationale: Children with varicella (chickenpox) are contagious until all vesicles are crusted over. The contagious period starts 1-2 days before the rash appears and continues until all lesions are dried and crusted. It is important to educate healthcare providers about the contagious period to prevent the spread of the virus to susceptible individuals.

2. When assessing a client with sinusitis, which technique should the nurse use to identify manifestations of this disorder?

A. Percussion of the frontal sinuses
B. Auscultation of the trachea
C. Inspection of the nasal mucosa
D. Palpation of the orbital areas

Correct answer: D

Rationale: Sinusitis is an inflammation of the sinus cavities, which can cause tenderness and pain around the eyes (orbital areas). Palpation of the orbital areas can help identify tenderness and swelling associated with sinusitis. Auscultation of the trachea and percussion of the frontal sinuses are not relevant assessment techniques for sinusitis. Inspection of the nasal mucosa may reveal signs of inflammation, but palpation of the orbital areas is a more direct method to assess for tenderness and swelling in this specific condition.

3. What is the most appropriate nursing order for a patient who develops dyspnea and shortness of breath?

A. Maintain the patient on strict bed rest at all times
B. Maintain the patient in an orthopneic position as needed
C. Administer high-flow oxygen immediately
D. Encourage the patient to engage in vigorous physical activity

Correct answer: B

Rationale: Maintaining the patient in an orthopneic position as needed is the most appropriate nursing order for a patient experiencing dyspnea and shortness of breath. This position helps to optimize lung expansion, improve oxygenation, and alleviate breathing difficulties. It is a strategic intervention to enhance respiratory function in patients with respiratory distress. Choice A is incorrect because strict bed rest may not address the underlying respiratory issue effectively. Choice C is premature as administering high-flow oxygen should be based on a comprehensive assessment. Choice D is inappropriate as encouraging vigorous physical activity can exacerbate breathing problems in a patient experiencing dyspnea.

4. What is the correct sequence for assessing the abdomen?

A. Tympanic percussion, measurement of abdominal girth, and inspection
B. Assessment for distention, tenderness, and discoloration around the umbilicus
C. Percussion, palpation, and auscultation
D. Auscultation, percussion, and palpation

Correct answer: D

Rationale: The correct sequence for assessing the abdomen is auscultation, percussion, and palpation. Auscultation allows the healthcare provider to listen for bowel sounds, followed by percussion to assess for areas of tenderness or abnormal distention, and finally palpation to feel for masses or organ enlargement. This sequence ensures a systematic and thorough assessment of the abdomen.