ATI RN
Pediatric Nursing Study Guide Questions
Question 1 of 5
One of the following is a major Jones criteria for diagnosis of rheumatic fever:
Correct Answer: C
Rationale: Erythema marginatum is a major Jones criterion for rheumatic fever. It is a non-itchy, evanescent rash with a pale center, usually appearing on the trunk and proximal extremities.
Question 2 of 5
Regarding physical abuse, the physical signs in abused children (as bite marks) may be found in up to
Correct Answer: A
Rationale: Bite marks are relatively rare, occurring in only about 5% of physically abused children. Higher percentages would include broader categories of abuse indicators.
Question 3 of 5
The differential diagnosis of chronic urticaria includes the following EXCEPT
Correct Answer: D
Rationale: Chronic urticaria is not typically associated with blistering disorders, which are more characteristic of autoimmune skin diseases.
Question 4 of 5
Sixteen-year-old boy arrives at the emergency department not breathing. The size of the endotracheal tube needed is
Correct Answer: B
Rationale: Endotracheal tube size for an adolescent (16 years) is typically 8.0 mm. A rough estimate is (Age/4) + 3.5 for uncuffed and (Age/4) + 3 for cuffed tubes.
Question 5 of 5
Expiratory grunting is a sign of:
Correct Answer: B
Rationale: Expiratory grunting occurs due to alveolar collapse and impaired gas exchange, commonly seen in bacterial pneumonia. It is a compensatory mechanism to maintain lung volume and oxygenation.