ATI RN
ATI Pediatrics Proctored Questions
Extract:
A preschool-age child who experienced the death of a sibling
Question 1 of 5
A nurse in a family practice clinic is assessing a preschool-age child who recently experienced the death of a sibling. Which of the following reactions is an age-appropriate response to death?
Correct Answer: A
Rationale: The correct answer is A because preschool-age children often exhibit curiosity about death and may ask questions about what happens to the body. This is a normal part of their cognitive and emotional development as they try to make sense of the concept of death.
Choice B is incorrect because young children typically do not feel responsible for a sibling's death.
Choice C is incorrect as preschoolers may not have the cognitive ability to give a logical explanation for death.
Choice D is also incorrect because preschool-age children may not fully understand the permanence of death.
Extract:
A 24-month-old toddler
Question 2 of 5
A nurse is assessing a 24- month -old toddler. Which of the following finding should the nurse report to the provider?
Correct Answer: D
Rationale: The correct answer is D. Holding breath during a temper tantrum is a concerning behavior that could potentially lead to serious consequences like fainting or injury. It is important to report this to the healthcare provider for further evaluation and intervention. The other choices are not as critical. A: Having a vocabulary of 30 words is appropriate for a 24-month-old. B: Sleeping 11 to 12 hours per day is within the normal range for a toddler. C: Eating patterns can vary in toddlers and may not necessarily indicate a problem.
Extract:
A child with multiple closed fractures of the lower extremities
Question 3 of 5
A nurse is assisting a child who has multiple closed fractures of the lower extremities due to a motor-vehicle crash. The nurse should monitor the child for which of the following complications during the first 24 hr after the injury occurred?
Correct Answer: B
Rationale: The correct answer is B: Compartment syndrome. After a traumatic injury like closed fractures, there is a risk of compartment syndrome due to increased pressure within muscle compartments, leading to impaired blood flow and tissue damage. Monitoring for compartment syndrome is crucial within the first 24 hours to prevent long-term complications. Osteomyelitis (
A) is an infection of the bone that typically develops over a longer period, not immediately after the injury. Volkmann ischemic contracture (
C) refers to a severe complication of untreated compartment syndrome, not an immediate risk within 24 hours. Renal calculi (
D) are unrelated to the lower extremity fractures and would not be a primary concern in this scenario.
Extract:
A child with heart failure
Question 4 of 5
A nurse is assessing a child who has heart failure. Which of the following findings is a clinical manifestation associated with this diagnosis?
Correct Answer: A
Rationale: The correct answer is A: Tachypnea. In heart failure, the heart is unable to pump blood effectively, leading to inadequate oxygenation. Tachypnea occurs as the body compensates for decreased cardiac output by increasing respiratory rate to improve oxygen delivery. Increased appetite (
B) is not a typical manifestation of heart failure, as patients often experience poor appetite due to fluid retention and abdominal discomfort. Tremors (
C) are not directly related to heart failure but may be seen in conditions like hyperthyroidism. Bradycardia (
D) is a slow heart rate, which is not characteristic of heart failure, where tachycardia is more common due to the body's compensatory mechanisms.
Extract:
An adolescent with sickle cell anemia
Question 5 of 5
A nurse is planning care for an adolescent who has sickle cell anemia. Which of the following immunization should the nurse include in the plan?
Correct Answer: A
Rationale: The correct answer is A: pneumococcal conjugate (PCV13). Adolescents with sickle cell anemia are at an increased risk for infections, including pneumonia. PCV13 helps protect against pneumococcal bacteria, a common cause of pneumonia in this population. It is recommended by CDC for individuals with sickle cell disease.
B: RSV is not typically indicated for adolescents with sickle cell anemia.
C: MMR is important but not specifically targeted for sickle cell anemia.
D: Rotavirus vaccine is typically given to infants and is not indicated for adolescents with sickle cell anemia.