ATI RN
ATI Pediatrics Exam NURS 243 Spring 2014 Questions
Extract:
A 2-year-old child with second and third-degree burns scheduled for a wound dressing change, anxious and tachycardic.
Question 1 of 5
A 2-year-old child admitted to a burn unit with second and third-degree burns is scheduled for another wound dressing change. The child is anticipating the painful procedure and is anxious and tachycardic as the time approaches. The nurse recognizes that which of the following is likely?
Correct Answer: D
Rationale: A 2-year-old is likely anxious and tachycardic due to anticipated pain from the dressing change, a common fear in young children undergoing painful procedures.
Extract:
Parents obtaining informed consent for a child.
Question 2 of 5
When assisting in obtaining informed consent for a child, which of the following actions were taken?
Correct Answer: B,C,D
Rationale: Ensuring no pressure, explaining risks/benefits, and discussing alternatives ensure informed consent is clear and voluntary, avoiding complex terminology.
Extract:
A year-old child with a new diagnosis of diabetes mellitus and is distressed.
Question 3 of 5
A nurse is caring for a year-old child who has a new diagnosis of diabetes mellitus and is distressed. The nurse recognizes that which of the following therapeutic actions will help improve the child's cooperation?
Correct Answer: C
Rationale: A storybook about a cat with diabetes helps the child understand their condition in a relatable, non-threatening way, improving cooperation with diabetes management.
Extract:
A 12-month-old with a weak cry, pale complexion, decreased breath sounds, retractions, and an oxygen saturation of 93%; a 5-year-old speaking in full sentences, pink complexion, bilateral wheezing, and an oxygen saturation of 93%; a 16-year-old speaking in short phrases, wheezing, sitting upright, and an oxygen saturation of 93%; a 9-year-old who is quiet, pale, sitting on his father's lap, bilateral wheezing, and an oxygen saturation of 93%.
Question 4 of 5
In the Emergency Department, four children are awaiting treatment for respiratory illnesses. Given that only one treatment room is available, which child should be prioritized based on the assessment findings?
Correct Answer: A
Rationale: The 12-month-old's weak cry, pallor, decreased breath sounds, and retractions indicate severe respiratory distress, requiring priority treatment.
Extract:
An infant admitted with dehydration.
Question 5 of 5
The nurse is reviewing the intake and output record from the previous 8 hours for an infant admitted with dehydration. The nurse also reviews the most recent lab results in the chart. Based on the information in the chart, what does the nurse determine about this patient during the shift?
Correct Answer: A
Rationale: Without specific improvement data, the infant's admission for dehydration suggests ongoing dehydration based on intake/output and lab results.