ATI RN
ATI Nur307 Pediatrics Quiz 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: C
Rationale: Applying pressure just above the insertion site is the first action to control bleeding after a cardiac catheterization.
Question 2 of 5
A nurse is caring for a child who has epiglottitis due to an infection with Haemophilus influenzae type B. Which of the following actions should the nurse take? Select all that apply.
Correct Answer: A,B,E
Rationale: A: Monitoring oxygen saturation assesses respiratory status due to potential airway obstruction. B: Droplet precautions prevent transmission of Haemophilus influenzae type B. E: IV access is needed for fluids and medications in emergency interventions.
Question 3 of 5
A nurse is caring for a 1-week-old newborn who has hyperbilirubinemia and is being treated with phototherapy. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Monitoring the newborn's temperature every 2 hours ensures phototherapy is not causing overheating or hypothermia.
Extract:
Nurse Notes: 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, non-productive cough present. Vital Signs: 0730: Tympanic temperature 38.1 C (100.6 F), Heart rate 95/min, Respiratory rate 20/min, Oxygen saturation 98% on room air. 0800: Tympanic temperature 38.2 C (100.6 F), Heart rate 95/min, Respiratory rate 20/min, Oxygen saturation 96% on room air. Provider Prescription: Sulfamethoxazole and trimethoprim 8 mg TMP/kg/day PO, Salicylic acid 20 mg/kg/dose every 4 hr as needed for pain and fever.
Question 4 of 5
For each of the flowing findings, click to specify if the finding is consistent with acute laryngotracheobronchitis or pneumonia.
| Finding | Acute Laryngotracheobronchitis | Pneumonia. |
|---|---|---|
| Irritability | ||
| Cough findings at 0800 | ||
| Stridor | ||
| Temperature |
Correct Answer: A,B,C,D
Rationale: A: Irritability is consistent with both due to discomfort. B: Barking cough is characteristic of laryngotracheobronchitis (croup), though pneumonia may have a productive cough. C: Stridor is a hallmark of croup, not pneumonia. D: Fever is consistent with both conditions.
Extract:
Question 5 of 5
A nurse is caring for a child who is receiving conditioning therapy for enuresis. Which of the following statements by the child's parent indicates the treatment is effective?
Correct Answer: D
Rationale: Holding urine for 15 minutes indicates the child is recognizing bladder fullness, a sign that the conditioning therapy for enuresis is effective.