ATI RN
Pediatric Nursing Study Guide Questions
Question 1 of 5
Which of the following results of investigations is unlikely in serum sickness?
Correct Answer: B
Rationale: Thrombocytosis is not commonly associated with serum sickness, whereas inflammation markers like ESR and reduced C3 are expected.
Question 2 of 5
A 3-year-old boy with asthma has tremors and behavioral changes. ABG: pH 7.35, PCO2 72, HCO3 30. What is the acid-base disorder?
Correct Answer: A
Rationale: The normal pH with elevated PCO2 and compensatory HCO3 indicates fully compensated respiratory acidosis, common in chronic CO2 retention from asthma.
Question 3 of 5
A 10-year-old child with a history of asthma presents to your office sleepy, with a respiratory rate of 40, marked intercostal retractions, and few wheezes. Of the following, which is the best mode of transport to the local emergency department, which is 10 minutes away?
Correct Answer: B
Rationale: An ALS ambulance is needed due to the child's respiratory distress, which requires advanced airway management and potential medication administration.
Question 4 of 5
Bronchodilator response to an inhaled B-agonist (e.g., albuterol) is greater in asthmatic patients than in non-asthmatic persons. The rate of improvement in FEV1 consistent with asthma is
Correct Answer: D
Rationale: An improvement in FEV1 of more than 15% after bronchodilator administration is a strong indicator of asthma.
Question 5 of 5
After days of phototherapy, the bilirubin level of the patient in Question 5 declines below mg/dL One day off phototherapy, the level of bilirubin remains less than mg/dL The patient is discharged home and grows well while breast-feeding At month of age, he returns with significant pallor, tachycardia, and a new heart murmur The most likely problem at this time is
Correct Answer: B
Rationale: Ductal-dependent congenital heart disease may manifest after ductus arteriosus closure