ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
Nurse's Notes (0700hrs): The child is a 7-year-old male admitted with a history of chronic respiratory issues. The child presents with a persistent cough producing thick, greenish sputum. The mother reports that the child has had difficulty gaining weight despite a good appetite. The child appears fatigued and has been experiencing frequent respiratory infections. The child is currently on oxygen therapy at 2 liters per minute via nasal cannula. The mother also mentions that the child has large, greasy stools and frequent abdominal pain. The child is alert but appears tired and is cooperative during the examination; Physical Examination Results (0700hrs): The child has a barrel-shaped chest and clubbing of the fingers. Breath sounds are diminished bilaterally with crackles and wheezes noted throughout all lung fields. The abdomen is distended with hyperactive bowel sounds. The skin is dry with poor turgor, and there are multiple bruises on the lower extremities. The child has a thin, frail appearance with visible ribs and muscle wasting. The child's lips are slightly cyanotic, and there is nasal flaring observed during respiration. The child's extremities are cool to the touch; Vital Signs (0700hrs): Temperature: 38.2°C (100.8°F), Heart rate: 110/min, Respiratory rate: 32/min, Blood pressure: 95/60 mm Hg, Oxygen saturation: 92% on 2L O2 via nasal cannula; A nurse is caring for a school-age child in the pediatric unit.
Question 1 of 5
Correct Answer: D
Rationale: The correct answer is D: Notify the provider of the child's condition. This is the correct choice because it is crucial to communicate the child's worsening condition to the healthcare provider for further assessment and management. Increasing oxygen flow rate (
A) may be necessary but should be done under the provider's guidance. Administering a bronchodilator (
B) is important if prescribed, but notifying the provider takes precedence in this situation. Encouraging the child to drink more fluids (
C) may be helpful for respiratory conditions, but it does not address the urgency of the situation.
Extract:
A nurse is providing teaching to a parent of a child who has HIV.
Question 2 of 5
Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I will ensure that my child is tested for tuberculosis every year." This statement indicates understanding of teaching because it shows the parent's awareness of the importance of regular testing for tuberculosis due to the child's condition. Testing for tuberculosis is crucial for early detection and treatment in immunocompromised individuals.
Choice A is incorrect because childhood immunizations do not need to be repeated once in remission.
Choice B is incorrect because the risk of transmission of HIV is not solely dependent on being on zidovudine for 2 weeks.
Choice D is incorrect because doubling medications without proper guidance can be harmful.
Extract:
Nurse Notes: Child presents to the emergency department (ED). Guardians report the child woke up coughing with a low-grade fever. Child appears alert and restless in guardian's arms. Respirations easy, no cough noted. 0800: Child became agitated. Hoarse cry noted with audible inspiratory stridor. Barking, non-productive cough present. Vital Signs: 0730: Tympanic temperature 38.1 C (100.6 F), Heart rate 95/min, Respiratory rate 20/min, Oxygen saturation 98% on room air. 0800: Tympanic temperature 38.2 C (100.6 F), Heart rate 95/min, Respiratory rate 20/min, Oxygen saturation 96% on room air. Provider Prescription: Sulfamethoxazole and trimethoprim 8 mg TMP/kg/day PO, Salicylic acid 20 mg/kg/dose every 4 hr as needed for pain and fever.
Question 3 of 5
For each of the flowing findings, click to specify if the finding is consistent with acute laryngotracheobronchitis or pneumonia.
| Findings | Acute Laryngotracheobronchitis | Pneumonia |
|---|---|---|
| Irritability | ||
| Cough findings at 0800 | ||
| Stridor | ||
| Temperature |
Correct Answer: A,B,C,D
Rationale: A: Irritability is consistent with both due to discomfort. B: Barking cough is characteristic of laryngotracheobronchitis (croup), though pneumonia may have a productive cough. C: Stridor is a hallmark of croup, not pneumonia. D: Fever is consistent with both conditions.
Extract:
A nurse is caring for a newly admitted child.
Question 4 of 5
Which members of the interprofessional team should the nurse initiate a referral to?
Correct Answer: A
Rationale: The correct answer is A: Dietitian. The nurse should initiate a referral to a dietitian to address nutrition-related issues. Dietitians are experts in assessing and providing dietary recommendations for patients. They play a crucial role in promoting optimal health outcomes through personalized nutrition plans. Referring to a dietitian ensures comprehensive care for the patient's nutritional needs. Other options such as B: Occupational therapist, C: Physical therapist, and D: Speech-language pathologist are important members of the interprofessional team but may not be the primary referral for addressing nutrition concerns.
Extract:
A nurse is planning postoperative care for an adolescent following scoliosis repair with spinal instrumentation.
Question 5 of 5
Which of the following actions should the nurse include in the plan of care?
Correct Answer: B
Rationale: The correct answer is B: Ensure two nurses logroll the adolescent every 2 hours. This is essential post-surgery to prevent complications such as pressure ulcers and maintain proper body alignment. It ensures even distribution of pressure and reduces the risk of musculoskeletal injuries. Option A is incorrect as early ambulation may not be safe 12 hours post-surgery. Option C is not as crucial as logrolling for preventing complications. Option D is incorrect as oral intake should be cautiously initiated.