ATI RN
ATI RN Pediatric Assessment 2022 Questions
Extract:
A child weighing 22 pounds trapped in a house fire and sustains a burn injury with 40% total body surface area (TBSA) affected
Question 1 of 5
A child weighing 22 pounds is trapped in a house fire and sustains a burn injury. The total body surface area (TBSA) affected by burns is found to be 40%. The Parkland formula for fluid resuscitation is used to calculate the amount of fluid the child requires. The nurse determines that the child will receive how many milliliters of fluid in the first 8 hours after the time of injury?
Correct Answer: 800 mL
Rationale: Parkland formula: 4 mL/kg/% TBSA. Weight: 22 lb ÷ 2.2 = 10 kg.
Total fluid: 40% × 10 kg × 4 mL/kg = 1600 mL over 24 hours. First 8 hours: 1600 mL ÷ 2 = 800 mL.
Extract:
An infant with cystic fibrosis
Question 2 of 5
The clinic nurse is providing instructions to the parent of a child with cystic fibrosis regarding the immunization schedule for the child. Which statement would the nurse make to the parent?
Correct Answer: C
Rationale: Children with CF should receive standard immunizations plus annual influenza vaccination to prevent respiratory complications. A, B, and D are incorrect.
Extract:
A child with juvenile idiopathic arthritis experiencing a painful exacerbation
Question 3 of 5
The parents of a child with juvenile idiopathic arthritis call the clinic nurse because the child is experiencing a painful exacerbation of the disease. The parents ask the nurse if the child can perform range-of-motion exercises at this time. The nurse would make which response?
Correct Answer: C
Rationale: Isometric exercises maintain strength without painful joint movement during exacerbations. A, B, and D are less appropriate due to pain or immobility risks.
Extract:
A child with pertussis (whooping cough)
Question 4 of 5
The nurse performs an assessment of a child with pertussis (whooping cough). Which finding would the nurse identify as indicative of a potential complication?
Correct Answer: C
Rationale: Decreased breath sounds may indicate pneumonia, a serious pertussis complication. A, B, and D are normal or unrelated findings.
Extract:
A child admitted with a diagnosis of rheumatic fever
Question 5 of 5
The nurse is assessing a child admitted with a diagnosis of rheumatic fever. Which significant question would the nurse ask the child's parent during the assessment?
Correct Answer: B
Rationale: Rheumatic fever often follows a streptococcal infection like strep throat. Asking about recent sore throats in the family identifies potential sources. A, C, and D are unrelated to rheumatic fever's etiology.