ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
A nurse is reviewing the laboratory results of a child who was recently admitted for suspected rheumatic fever.
Question 1 of 5
Which of the following laboratory tests can contribute to confirming this diagnosis? Select all that apply.
Correct Answer: A,D,E
Rationale: ASO titer confirms recent streptococcal infection, a rheumatic fever trigger. ESR and CRP indicate inflammation, supporting diagnosis. PTT and BUN are unrelated to rheumatic fever.
Extract:
A nurse is assessing a child who has measles.
Question 2 of 5
Which of the following areas should the nurse inspect for Koplik spots?
Correct Answer: A
Rationale: Koplik spots, bluish-white with a red halo, appear inside the cheeks in measles, not on the tongue, gums, or lips.
Extract:
Nurse's Notes: The infant presents with tachypnea, moderate retractions, and nasal flaring. Auscultation reveals crackles in all lung fields, with no nasal drainage. The infant has a dry cough that occurs periodically. The skin appears pale, the scalp is diaphoretic, and the lower extremities are cool to the touch. The infant is tachycardic with a regular rhythm, and no murmur is heard. Peripheral pulses are full and bounding in the upper extremities but weak in the bilateral pedal pulses. Mucous membranes are slightly dry and pink, with slightly decreased skin turgor. Capillary refill time is 3 seconds. Periorbital edema and non-pitting edema of the feet are noted. The anterior fontanel is soft and slightly depressed. The diaper remains dry. The abdomen is soft, full, and round, with active bowel sounds; Medical History: The infant was born at 38 weeks gestation via vaginal delivery with no complications. The infant has had no previous hospitalizations or surgeries. The infant has been exclusively breastfed and has no known allergies. The mother reports that the infant has been feeding poorly for the past two days and has had decreased urine output. There is no family history of congenital heart disease or respiratory conditions; Diagnostic Results: Chest X-ray: Mild left ventricular hypertrophy noted. Increased pulmonary vascular markings in all lobes; Complete Blood Count (CBC): White Blood Cells (WBC): 12,000/mm³ (4,500-11,000/mm³), Hemoglobin (Hgb): 11 g/dL (11-14 g/dL), Hematocrit (Hct): 33% (33-39%), Platelets: 250,000/mm³ (150,000-450,000/mm³); Electrolytes: Sodium (Na): 138 mEq/L (135-145 mEq/L), Potassium (K): 4.2 mEq/L (3.5-5.0 mEq/L), Chloride (Cl): 102 mEq/L (98-106 mEq/L), Bicarbonate (HCO3): 22 mEq/L (22-28 mEq/L); Vital Signs: Temperature: 37.7°C (99.9°F), Heart rate: 174/min while sleeping, Respiratory rate: 72/min while sleeping, Blood pressure in right upper extremity: 60/39 mm Hg, Oxygen saturation: 90%; Physical Examination Results: The infant is alert but irritable. The skin is pale with a diaphoretic scalp and cool lower extremities. The infant exhibits tachypnea with moderate retractions and nasal flaring. Crackles are heard in all lung fields upon auscultation. The heart rate is tachycardic with a regular rhythm, and no murmur is detected. Peripheral pulses are full and bounding in the upper extremities but weak in the bilateral pedal pulses. The mucous membranes are slightly dry and pink, with slightly decreased skin turgor. Capillary refill time is 3 seconds. Periorbital edema and non-pitting edema of the feet are noted. The anterior fontanel is soft and slightly depressed. The abdomen is soft, full, and round, with active bowel sounds; A nurse is caring for a 6-week-old infant in the pediatric unit.
Question 3 of 5
Complete the diagram by dragging from the choices below to specify: 1. What condition the client is most likely experiencing 2. Two actions the nurse should take to address that condition 3. Two parameters the nurse should monitor to assess the client's progress.
Action to Take
Potential Condition
Parameter to Monitor
Correct Answer: A,E
Rationale: Condition Most Likely Experiencing: Congestive heart failure. The infant's symptoms, including tachypnea, retractions, nasal flaring, crackles, tachycardia, weak pedal pulses, periorbital edema, and non-pitting edema, along with chest X-ray findings of left ventricular hypertrophy and increased pulmonary vascular markings, are consistent with congestive heart failure. Actions to Take: 1. Anticipate a prescription for digoxin to improve cardiac output. 2. Elevate the head of the bed to a 45° angle to reduce breathing effort and pulmonary congestion. Parameters to Monitor: Peripheral pulses to assess circulation improvement and respiratory status to track reduction in congestion.
Extract:
A nurse is preparing to administer ibuprofen 10 mg/kg PO to a child. The child weighs 55 lb. Available is ibuprofen 100 mg/5 mL solution.
Question 4 of 5
How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 12.5
Rationale: Convert 55 lb to 24.948 kg. Calculate dose: 24.948 kg × 10 mg/kg = 249.48 mg. Convert to volume: (249.48 mg ÷ 100 mg) × 5 mL = 12.474 mL, rounded to 12.5 mL.
Extract:
A nurse is caring for an infant who has heart failure and vomited following administration of digoxin.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Increased fluids risk overload. Antiemetics need provider approval. Administer the next dose on schedule; don't repeat vomited doses. Mixing with large formula volumes affects absorption.