ATI RN
ATI RN Pediatric Nursing 2023 II Questions
Extract:
Question 1 of 5
A nurse is assessing a child who is 2 hr postoperative following a cardiac catheterization and finds the dressing is saturated with blood. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct action is to apply pressure just above the insertion site. This is because the priority is to control the bleeding. Applying pressure helps to stop the bleeding and prevent further blood loss. Monitoring the pulse distal to the insertion site (choice
B) can be done after controlling the bleeding. Obtaining vital signs (choice
C) is important but not the first priority in this situation. Reinforcing the dressing (choice
D) can be done after the bleeding is under control. It is crucial to address the immediate issue of bleeding first before moving on to other assessments or interventions.
Extract:
Exhibit 2 Nurses' Notes 0730: Child presents to the emergency department (ED). Guardians report the child woke up coughing with a low-grade fever. Child appears alert and restless in guardian's arms. Respirations easy, no cough noted. 0800: Child became agitated. Hoarse cry noted with audible inspiratory stridor. Barking, nonproductive cough present.
Question 2 of 5
For each of the following findings, click to specify if the finding is consistent with acute laryngotracheobronchitis or pneumonia. Each finding may support more than one disease process.
| Finding | Acute Laryngotracheobronchitis | pneumonia |
|---|---|---|
| Irritability | ||
| Temperature | ||
| Cough findings at 0800 | ||
| Stridor |
Correct Answer: A,B,C,D
Rationale: The correct answer is .
A: Irritability is a common symptom seen in both acute laryngotracheobronchitis and pneumonia due to the discomfort caused by respiratory issues.
B: Temperature is an important indicator in differentiating between the two conditions as pneumonia typically presents with higher fever compared to laryngotracheobronchitis.
C: Cough findings at 0800 can be present in both conditions, but the nature of the cough and accompanying symptoms can help differentiate between them.
D: Stridor is a key clinical finding in acute laryngotracheobronchitis due to upper airway inflammation, whereas it is not a typical finding in pneumonia.
Incorrect choices:
E, F, G: These choices are left blank as they are not relevant to distinguishing between acute laryngotracheobronchitis and pneumonia based on the given parameters.
Extract:
Question 3 of 5
A nurse is assessing a 7-year-old child who has diabetes mellitus. Which of the following findings should the nurse identify as a manifestation of hypoglycemia?
Correct Answer: B
Rationale: The correct answer is B: Shakiness. In hypoglycemia, the body's blood sugar level drops too low, leading to symptoms like shakiness due to the release of stress hormones like adrenaline. Increased capillary refill (
A) is not associated with hypoglycemia. Thirst (
C) is more commonly seen in hyperglycemia. Decreased appetite (
D) is not a typical manifestation of hypoglycemia in a child with diabetes mellitus.
Question 4 of 5
A nurse is planning care for a preschooler who has autism spectrum disorder. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: The correct answer is B: Establish a reward system. Preschoolers with autism spectrum disorder often respond well to structured routines and positive reinforcement. By implementing a reward system, the nurse can encourage desired behaviors and provide motivation for the child to engage in activities. This intervention helps in shaping behavior and promoting learning. Maintaining extended eye contact (
A) may be overwhelming for children with autism. Engaging in cooperative play (
C) may be challenging as preschoolers with autism may struggle with social interactions. Holding the child during assessments (
D) may cause distress and resistance. Overall, establishing a reward system is the most effective strategy for fostering positive behavior in children with autism spectrum disorder.
Question 5 of 5
A nurse is assessing a preschool-age child who is in the immediate postoperative period following a tonsillectomy. Which of the following assessment findings is the priority?
Correct Answer: D
Rationale: The correct answer is D: The child swallows frequently. This is the priority assessment finding because it could indicate bleeding post-tonsillectomy, which is a potential complication requiring immediate intervention to prevent further complications. The other options are not as urgent: A is expected after surgery, B can be managed by offering alternatives, and C is common postoperatively due to discomfort.