ATI RN
ATI Pediatrics Quiz Questions
Extract:
A toddler who has acute laryngotracheobronchitis and has been placed in a cool mist tent.
Question 1 of 5
A nurse is caring for a toddler who has acute laryngotracheobronchitis and has been placed in a cool mist tent. Which of the following finding indicates that the treatment has been effective?
Correct Answer: B
Rationale: The correct answer is B: Decreased stridor. Stridor is a high-pitched, harsh sound during breathing caused by airway obstruction. In acute laryngotracheobronchitis, the airway is inflamed, leading to stridor. Placing the toddler in a cool mist tent helps reduce inflammation and opens the airway, resulting in decreased stridor. Barking cough (choice
A) is a symptom of croup, not an indicator of treatment effectiveness. Improved hydration (choice
C) is important for overall health but does not directly reflect the effectiveness of the cool mist tent. Decreased temperature (choice
D) may indicate a reduction in fever but is not specific to the airway condition being treated.
Extract:
An 8-year-old child who has acute rheumatic fever.
Question 2 of 5
A nurse is caring for an 8-year-old child who has acute rheumatic fever. Which of the following assessments is the nurse's priority immediately after admission?
Correct Answer: D
Rationale: The correct answer is D: Auscultating the rate and characteristics of the child's heart sounds. This is the priority assessment because acute rheumatic fever primarily affects the heart valves, leading to potential complications like carditis. By auscultating the heart sounds, the nurse can quickly identify any abnormalities and initiate prompt interventions to prevent further cardiac damage.
Choices A, B, and C are incorrect as they focus on secondary assessments that are important but not as urgent as assessing the heart in a child with acute rheumatic fever. Parental anxiety, joint pain severity, and rashes can be addressed after ensuring the child's cardiac status is stable.
Extract:
A 6-month-old infant.
Question 3 of 5
A nurse is caring for a 6-month-old infant. Which of the following findings should indicate to the nurse that the client is experiencing pain following a procedure?
Correct Answer: C
Rationale: The correct answer is C: Increased crying episodes. Pain in infants is often indicated by increased crying as they cannot verbally express their discomfort. Crying is a common response to pain in infants due to their limited communication abilities. Decreased heart rate (choice
A) and respiratory rate (choice
B) are not typically indicative of pain and may be a sign of relaxation or sleepiness. Increased formula consumption (choice
D) is more likely a sign of hunger rather than pain.
Extract:
A child who has suspected epiglottitis.
Question 4 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: B
Rationale: The correct answer is B: Place the child in an upright position. This is essential because positioning the child upright helps prevent airway obstruction in suspected epiglottitis. It allows for better airflow and helps maintain the airway patency. Throat culture (
A) and visualizing the epiglottis with a tongue depressor (
C) can provoke a spasm and worsen the airway obstruction. Transporting the child to radiology for a throat x-ray (
D) can delay crucial interventions to secure the airway.
Extract:
A 12-month-old toddler who is hospitalized and confined to a room with contact precautions in place.
Question 5 of 5
A nurse is caring for a 12-month-old toddler who is hospitalized and confined to a room with contact precautions in place. Which of the following toys should the nurse recommend in order to meet the developmental needs of the client?
Correct Answer: A
Rationale: The correct answer is A: Large building blocks. At 12 months old, toddlers are in the sensorimotor stage, where they explore through touch and movement. Large building blocks promote fine motor skills, hand-eye coordination, and cognitive development. Hanging crib toys (
B) are more suitable for infants, while crayons and coloring books (
C) may pose a choking hazard. Modeling clay (
D) is not recommended due to the risk of ingestion. Building blocks are safe, age-appropriate, and encourage creativity and problem-solving skills.