ATI RN
ATI Pediatrics Exam NURS 243 Spring 2014 Questions
Extract:
A child admitted to the hospital.
Question 1 of 5
A child is admitted to the hospital. Which of the following findings is of greatest concern?
Correct Answer: D
Rationale: The tripod position, diminished breath sounds, and grunting indicate severe respiratory distress, suggesting potential respiratory failure requiring immediate attention.
Extract:
A 6-year-old who just had a tonsillectomy.
Question 2 of 5
What instructions must the nurse include in the post-operative discharge instruction for a 6-year-old who just had a tonsillectomy?
Correct Answer: A,B,C,D
Rationale: Pain control prevents dehydration, reporting ear pain/foul breath monitors complications, soft foods aid healing, and scabs are normal but should be monitored.
Extract:
A child with asthma prescribed an albuterol inhaler with a spacer.
Question 3 of 5
A nurse is caring for a child with asthma who is prescribed to use an albuterol inhaler with a spacer. The parents ask how albuterol helps the child's breathing. Which of the following responses should the nurse include?
Correct Answer: A,C,D
Rationale: Albuterol relaxes airway muscles to open airways, reduces wheezing, and relieves coughing and shortness of breath, but does not thin mucus.
Extract:
A 6-year-old admitted due to dehydration following a tonsillectomy 26 hours ago, with vital signs: Temperature: 100.9°F, Pulse: 150 bpm, Respiration: 28, Blood Pressure: 88/50, Pain: Throat 10.
Question 4 of 5
A nurse is providing care for a 6-year-old patient who was admitted due to dehydration following a tonsillectomy 26 hours ago. The patient's vital signs are as follows: Temperature: 100.9°F, Pulse: 150 bpm (apically), Respiration: 28, Blood Pressure: 88/50, Pain: Ears 0, Throat 10 using FACES pain scale, Weight: 40 lbs. Complete the following sentence by using the list of options as evidenced by: The patient is most at risk for:
Correct Answer: A
Rationale: Severe throat pain and tachycardia suggest ongoing dehydration, exacerbated by reduced intake post-tonsillectomy.
Extract:
A school-aged child with cystic fibrosis prescribed vest therapy.
Question 5 of 5
A nurse is reviewing the care plan with a school-aged child who has cystic fibrosis and a prescription to receive vest therapy to mobilize respiratory secretions. Which of the following statements by the child indicates an understanding of the plan?
Correct Answer: D
Rationale: Administering albuterol, a bronchodilator, prior to vest therapy opens airways, enhancing the effectiveness of secretion mobilization in cystic fibrosis.