ATI RN
ATI Nur232g Pediatrics Final Exam Questions
Extract:
A nurse is assessing a 10-month-old infant.
Question 1 of 5
A nurse is assessing a 10-month-old infant. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A because by 10 months, infants should be able to sit steadily without support, indicating proper gross motor development. This milestone is important for future motor skills and is a red flag if not achieved.
Choices B, C, and D are incorrect because they are more related to fine motor and cognitive development, which may vary at this age and are not as critical as the ability to sit steadily.
Extract:
A nurse is planning care for a child who has suspected epiglottitis.
Question 2 of 5
A nurse is planning care for a child who has suspected epiglottitis. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Place the child in an upright position. This is crucial in suspected epiglottitis as it helps prevent further airway obstruction. Placing the child upright promotes better air exchange and reduces the risk of the epiglottis blocking the airway.
Choices B, C, and D are incorrect. Transporting the child to radiology or visualizing the epiglottis with a tongue depressor can worsen the condition by causing agitation and potential airway obstruction. Obtaining a throat culture is not a priority in the immediate management of suspected epiglottitis.
Extract:
An 8-year-old child on the pediatric unit recovering from severe persistent asthma is on the cardiac monitor. The nurse hears an alarm, and noted the leads on the child are on. The nurse checked for responsiveness, and the child is not responding to tactile response.
Question 3 of 5
An 8-year-old child on the pediatric unit recovering from severe persistent asthma is on the cardiac monitor. The nurse hears an alarm, and noted the leads on the child are on. The nurse checked for responsiveness, and the child is not responding to tactile response. What are the nurse's next actions?
Correct Answer: B
Rationale: The correct answer is B: Call for help, then check for a pulse. This is the best course of action as the nurse first needs to ensure additional help is on the way before proceeding with further assessment. Checking for a pulse is the next step to determine the child's circulatory status. Starting chest compressions without confirming the absence of a pulse can be harmful. Maintaining the airway is important but should come after checking for a pulse. Informing the physician can lead to delays in immediate interventions.
Extract:
A nurse is assessing a 15-month-old toddler.
Question 4 of 5
A nurse is assessing a 15-month-old toddler. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B. A 15-month-old toddler should be able to stand upright without support. This is a crucial gross motor skill milestone at this age. Inability to do so may indicate a developmental delay or a possible musculoskeletal issue. Option A is incorrect because jumping with both feet typically develops around 2-3 years of age. Option C is incorrect as turning a doorknob requires fine motor skills that are not expected at 15 months. Option D is incorrect because building a tower of 6-7 cubes is also a skill that develops later, around 18-24 months.
Extract:
A nurse is caring for a school-age child who has mild persistent asthma.
Question 5 of 5
A nurse is caring for a school-age child who has mild persistent asthma. Which of the following is an expected finding? (Select all that apply.)
Correct Answer: B,D,E
Rationale: The correct answer is B, D, and E. B: A PEF greater than or equal to 80% indicates good asthma control. D: Daytime symptoms occurring more than twice a week suggest mild persistent asthma. E: Minor limitations with normal activity are common in mild persistent asthma. A is incorrect as symptoms in mild persistent asthma are not continuous throughout the day. C is incorrect as nighttime symptoms occur more than twice a month in mild persistent asthma.