ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
Question 1 of 5
A nurse in a pediatric clinic is planning care for four children. The nurse should anticipate a provider's prescription for an auditory evaluation for which of the following children?
Correct Answer: B
Rationale:
Correct Answer: B. Bacterial meningitis risks hearing loss, warranting an auditory evaluation. A. Stuttering isn’t linked to hearing here. C. Erythromycin doesn’t affect hearing. D. Loose stools and babbling don’t suggest hearing issues.
Extract:
School-age child admitted, diagnosed with cystic fibrosis at 3 months of age, has experienced failure to thrive, and has chronic obstructive pulmonary disease. The child presents with wheezing, rhonchi, paroxysmal cough, and dyspnea. The parent reports large, frothy, foul-smelling stools. The child has deficient levels of vitamin A, D, E, and K. Barrel-shaped chest, Clubbing of the fingers bilaterally, Respiratory rate 40/min with wheezing and rhonchi noted bilaterally, dyspnea, and paroxysmal cough
Question 2 of 5
A nurse is reviewing the child's medical record. Which of the following medications should the nurse expect the provider to prescribe or reconcile from the child's home medication list? Select all that apply.
Correct Answer: B,D
Rationale:
Correct Answer: B,D. -Water-soluble vitamins: Children with cystic fibrosis often have deficiencies in fat-soluble vitamins (A, D, E, and K) due to malabsorption related to pancreatic insufficiency. Supplementing with water-soluble vitamins is not typically indicated as they are not affected by pancreatic insufficiency. -Dornase alfa: Dornase alfa is a recombinant human deoxyribonuclease enzyme that helps to thin and break down the thick, tenacious mucus in the airways of patients with cystic fibrosis. It is commonly prescribed to improve respiratory symptoms such as wheezing, rhonchi, and dyspnea. -Acetaminophen: Acetaminophen may be prescribed for pain or fever relief, but it is not specific to cystic fibrosis management. However, it may be used to alleviate symptoms such as headache or discomfort associated with cystic fibrosis exacerbations. -Pancreatic Apase: Pancreatic enzymes (e.g., pancreatic lipase, protease, and amylase) are essential for digestion and absorption of nutrients in individuals with cystic fibrosis-associated pancreatic insufficiency. Pancreatic enzyme replacement therapy (PERT) with pancreatic Apase supplements is crucial for improving nutrient absorption and preventing malnutrition. -Meperidine is an opioid analgesic that is not typically used in the management of cystic fibrosis. While pain management may be necessary for some patients with cystic fibrosis, opioids are generally not recommended due to concerns about respiratory depression and addiction potential.
Extract:
Preschool-age child who recently experienced the death of a sibling
Question 3 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: C
Rationale:
Correct Answer: C. Curiosity about the body is normal for preschoolers learning about death. A. Magical thinking is common but not the best answer here. B. They don’t grasp permanence yet. D. Logical explanations develop later.
Extract:
Child receiving peritoneal dialysis with minimal dialysate outflow
Question 4 of 5
A nurse is providing peritoneal dialysis to a child and observes there is minimal dialysate outflow at the end of the outflow time. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Changing position may reposition the catheter, improving outflow. A. Fluid intake doesn't fix outflow. B. Longer dwell doesn't address obstruction. D. Bruit isn't relevant here.
Extract:
Question 5 of 5
A nurse is providing teaching to the parent of a toddler who is scheduled for an electrocardiogram. Which of the following statements should the nurse make?
Correct Answer: C
Rationale:
Correct Answer: C. Allowing the child to rest on the parent’s lap can help them feel secure and calm, aiding an accurate ECG. A. Leads are placed on the chest, arms, and legs, not the back. B. An ECG takes 5-10 minutes, not 30. D. ECG machines don’t sound alarms; they record for later interpretation.