ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
Toddler with manifestations of epiglottitis
Question 1 of 5
A nurse in an emergency department is caring for a toddler who has manifestations of epiglottitis. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale:
Correct Answer: D. Epiglottitis spreads via droplets; initiating precautions first protects others. A. X-ray aids diagnosis but isn’t first. B. Intubation prep is secondary. C. Antibiotics follow precautions.
Extract:
Nurses' Notes 0915: Received the child awake, alert, and crying. Parent states that child was playing with remote control toy and when the parent heard the child crying, they noticed that a battery was missing from the toy. The parent states that the child was drooling more than usual and witnessed them gagging periodically. 0930: Child is lying on parent's chest with eyes open and requesting 'sippy cup.' Continues to have expiratory wheezing in bilateral upper lobes. Preparing child for diagnostic testing.
Question 2 of 5
The nurse should first ___
Correct Answer: B
Rationale:
Correct Answer: B. Keeping NPO prevents battery movement and complications if ingested. A. Consent is secondary to safety. C. Teaching is important but not the first action.
Extract:
Question 3 of 5
A nurse is caring for a child who has had a lumbar puncture. The nurse should monitor the child for which of the following complications?
Correct Answer: D
Rationale:
Correct Answer: D. Headache is a common complication post-lumbar puncture due to CSF leak, worsening when upright. A. Double vision isn’t typical. B. Nuchal rigidity suggests meningitis, not a direct complication. C. Pain at the iliac crest isn’t related to the procedure site.
Extract:
4-month-old infant during a well-baby visit
Question 4 of 5
A nurse is assessing a 4-month-old infant during a well-baby visit. For which of the following findings should the nurse notify the provider?
Correct Answer: A
Rationale: Doll's eye reflex should fade by 2 months; persistence at 4 months suggests neurological issues. B. No head lag is normal by 4 months. C. Positive Babinski is normal up to 12-24 months. D. Tears by 4 months are a normal milestone.
Extract:
Toddler with manifestations of epiglottitis
Question 5 of 5
A nurse in an emergency department is caring for a toddler who has manifestations of epiglottitis. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale:
Correct Answer: D. Epiglottitis spreads via droplets; initiating precautions first protects others. A. X-ray aids diagnosis but isn’t first. B. Intubation prep is secondary. C. Antibiotics follow precautions.