ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
Toddler with manifestations of epiglottitis
Question 1 of 5
A nurse in an emergency department is caring for a toddler who has manifestations of epiglottitis. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale:
Correct Answer: D. Epiglottitis spreads via droplets; initiating precautions first protects others. A. X-ray aids diagnosis but isn’t first. B. Intubation prep is secondary. C. Antibiotics follow precautions.
Extract:
3-month-old infant with diarrhea
Question 2 of 5
A nurse is assessing a 3-month-old infant who has diarrhea. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale:
Correct Answer: D. Increased hematocrit reflects hemoconcentration from dehydration. A. Tachycardia, not decreased rate, occurs. B. Sunken, not bulging, fontanel is expected. C. Oliguria, not polyuria, occurs.
Extract:
Infants
Question 3 of 5
A nurse is teaching a group of parents about childhood immunizations. The nurse should identify that infants should receive the first dose of which of the following immunizations at 12 months of age?
Correct Answer: D
Rationale: Varicella first dose is at 12 months. A. HPV is for adolescents. B. IPV starts earlier. C. Hep B begins at birth.
Extract:
Infant with a new diagnosis of heart failure
Question 4 of 5
A nurse is teaching the parent of an infant who has a new diagnosis of heart failure about nutrition. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: Infants with heart failure tire easily. A 3-hour feeding schedule allows smaller, frequent feedings to avoid overexertion. A. Recumbent positioning worsens breathing. B. 45 minutes is too long, risking fatigue. C. Crying increases oxygen demand, which is harmful.
Extract:
Guardian states the child has been unable to sleep recently and has been very irritable. Guardian expresses concern about the child's atopic dermatitis worsening and the child scratching excessively, resulting in bleeding. History of allergic rhinitis. Assessment: Child alert, respiratory rate 24/min, no adventitious sounds, heart rate 108/min, generalized reddish scaly patches with lichenifications and depigmentation on bilateral extremities. Medication: Diphenhydramine 10 mg PO 4 times per day, Pimecrolimus 1% cream daily
Question 5 of 5
Which of the following statements should the nurse plan to include in the discharge instructions for the child's guardian? Select all that apply.
Correct Answer: A,B,C,D,E
Rationale: A. Short nails prevent scratching damage. B. Emollients lock in moisture, aiding dermatitis. C. Gloves reduce scratching at night. D. Mild detergent avoids irritation. E. Flare-ups are chronic in atopic dermatitis. F. It's not contagious. G. Thin layer of pimecrolimus is correct.