ATI RN
ATI Pediatric Practice Questions Questions
Question 1 of 5
A nurse is auscultating the lungs of an adolescent who has asthma. The nurse should identify the sound as which of the following?
Correct Answer: C
Rationale: In this scenario, the correct answer is
C) tachypnea. Tachypnea is an increased respiratory rate, which is commonly seen in patients with asthma during an acute exacerbation. This rapid breathing is a compensatory mechanism the body uses to try to improve oxygenation.
Option
A) Biots respiration is characterized by irregular breathing patterns with periods of apnea. This is not typically associated with asthma.
Option
B) Chaney Stokes respiration is a pattern of breathing characterized by alternating periods of deep, rapid breathing followed by periods of apnea. This is not a typical finding in asthma.
Option
D) Bradypnea is a decreased respiratory rate, which is not consistent with the presentation of a patient with asthma experiencing difficulty breathing.
Educationally, understanding the different respiratory patterns and their significance is crucial for nurses caring for pediatric patients with respiratory conditions like asthma. Recognizing tachypnea in a patient with asthma can prompt appropriate interventions and timely management to improve outcomes.
Question 2 of 5
A newborn's parents are being taught about ways to prevent sudden infant death syndrome (SIDS). Which of the following instructions should be included?
Correct Answer: D
Rationale: The correct instruction to prevent SIDS is to give the infant a pacifier at bedtime. The use of a pacifier while the infant is sleeping is associated with a decreased risk of SIDS. Other recommended preventive measures include placing the infant on their back to sleep, using a firm mattress in the crib, and avoiding soft bedding or pillows.
Question 3 of 5
A nurse is providing discharge teaching to the parent of a school-age child who has moderate persistent asthma. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: The nurse should inform the parent that the child will need pulmonary function tests every 12 to 24 months to assess lung function and response to treatment. These tests help evaluate the presence of lung disease, monitor disease progression, and assess the effectiveness of the current therapeutic regimen in managing asthma.
Question 4 of 5
A toddler in the emergency department has partial thickness burns on his right arm. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: In pediatric nursing, it is crucial to provide appropriate care for burns to prevent infection and promote healing. The correct action in this scenario is to cleanse the affected area with mild soap and water (Option
C). This is because cleaning the burn helps remove debris, bacteria, and dead tissue, which can reduce the risk of infection and promote proper healing. It is important to use mild soap to prevent further irritation to the sensitive skin of a toddler.
Inserting a nasogastric tube (Option
A) is not indicated for a toddler with burns on the arm as it is not related to the immediate care of the burn injury. Initiation of prophylactic antibiotic therapy (Option
B) is not necessary at this point unless there are signs of infection. Applying a topical corticosteroid (Option
D) is also not recommended for partial thickness burns in the acute phase as it can impair wound healing and increase the risk of infection.
In an educational context, understanding the appropriate management of burns in pediatric patients is essential for nurses caring for these vulnerable populations. Teaching the correct wound care techniques, such as cleansing with mild soap and water, ensures optimal outcomes for pediatric patients with burn injuries. This knowledge empowers nurses to provide safe and effective care in emergency situations involving burn injuries in toddlers.
Question 5 of 5
In caring for an adolescent with severe abdominal pain due to appendicitis, where should the nurse identify as McBurney's point?
Correct Answer: A
Rationale: McBurney's point is located in the right lower quadrant of the abdomen, specifically between the umbilicus and the anterior iliac crest. This point is significant in diagnosing appendicitis, as tenderness at McBurney's point is a classic sign of appendicitis and indicates inflammation near the appendix.