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: Increasing the oxygen flow rate to 4 liters per minute may improve oxygenation temporarily, but it does not address the underlying cause of the child's respiratory distress. Additionally, increasing oxygen flow without a provider's order can be unsafe. Administering a bronchodilator as prescribed can help relieve bronchospasm and improve airflow. However, it is essential to notify the provider first to ensure that the bronchodilator is appropriate for the child's current condition. Encouraging the child to drink more fluids is important for hydration, especially if the child has a fever and dry skin. However, it is not the most immediate action needed to address the child's respiratory distress. Notifying the provider of the child's condition is the correct answer. The child is showing signs of respiratory distress, including nasal flaring, cyanosis, and increased respiratory rate. Promptly informing the provider ensures that appropriate medical interventions can be initiated to stabilize the child's condition.
Extract:
A nurse is working in a nursing home.
Question 2 of 5
What is the first priority for the nurse in this situation?
Correct Answer: A
Rationale: Moving patients from harm ensures immediate safety, the top priority in a fire. Removing flammables or extinguishing fires is secondary. Reporting to the fire area risks safety. Full evacuation may follow after initial safety measures.
Extract:
A nurse is caring for an infant who has necrotizing enterocolitis.
Question 3 of 5
Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Vomiting and tachypnea may occur but are less specific. Hypertension isn't typical. A rounded abdomen from intestinal swelling and gas is a hallmark of necrotizing enterocolitis.
Extract:
A nurse is caring for an infant who has heart failure and vomited following administration of digoxin.
Question 4 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.
Extract:
A nurse is reviewing the complete blood count results for a 4-year-old child who is receiving treatment for acute lymphoblastic leukemia.
Question 5 of 5
Which of the following findings should indicate to the nurse that the treatment is having a therapeutic effect?
Correct Answer: B
Rationale: Low hemoglobin indicates anemia, not improvement. A normal RBC count suggests treatment is stabilizing red cell production, indicating a therapeutic effect. Elevated WBC may reflect disease activity or infection, not necessarily success. Low platelets suggest ongoing issues, not improvement.