ATI RN
ATI RN Pediatric Nursing 2023 Exam 3 Questions
Extract:
Question 1 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 post-tonsillectomy as it may indicate bleeding, which can be life-threatening. Swallowing frequently can suggest blood pooling at the surgical site, leading to hemorrhage. A prompt assessment and intervention are crucial to prevent further complications.
Choices A, B, and C are not as high priority because throat pain, refusal of clear liquids, and crying are common after tonsillectomy and do not pose immediate life-threatening risks.
Question 2 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. For children with autism spectrum disorder, establishing a reward system can help reinforce desired behaviors and encourage positive interactions. This intervention is effective in promoting learning and improving behavior. Maintaining extended eye contact (
A) may be overwhelming for a child with autism. Engaging in cooperative play (
C) might be challenging due to difficulties in social interactions. Holding the child during assessments (
D) may cause distress as individuals with autism may have sensory sensitivities.
Question 3 of 5
A nurse is preparing to administer immunizations to a 5-year-old child who is up-to-date with the current immunization schedule. Which of the following immunizations should the nurse plan to administer?
Correct Answer: B
Rationale: The correct answer is B: Varicella. Varicella vaccine is typically given to children around 12-15 months of age, and a second dose is recommended at around 4-6 years. Since the child is 5 years old and up-to-date with the immunization schedule, the nurse should plan to administer the second dose of the varicella vaccine to ensure continued protection against chickenpox.
Choice A (Rotavirus) is usually given in infancy, so it is not needed at this age.
Choice C (Haemophilus influenzae type b) is typically administered in infancy and early childhood.
Choice D (Hepatitis
B) is usually given shortly after birth and during early childhood. The other choices are not relevant in this scenario.
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 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 | ||
| Cough findings at 0800 | ||
| Stridor | ||
| Temperature |
Correct Answer: A,B,C,D
Rationale: [
Rationale: ]
A - Irritability: Both acute laryngotracheobronchitis and pneumonia can cause irritability due to respiratory distress.
B - Cough findings at 0800: Both conditions manifest with cough, often worse in the morning.
C - Stridor: Stridor is a common sign of upper airway obstruction seen in acute laryngotracheobronchitis.
D - Temperature: Fever is a common symptom in both acute laryngotracheobronchitis and pneumonia.
Summary:
- Acute laryngotracheobronchitis and pneumonia can both present with irritability, cough, stridor, and fever.
Extract:
Question 5 of 5
A nurse is providing teaching to the parent of a 10-month-old infant who is having difficulty eating. The parent is feeding their infant goat milk. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Offer commercially prepared formula. At 10 months, infants should be transitioning to solid foods and receiving appropriate nutrition from formula or breast milk. Goat milk does not provide adequate nutrients for infants. Warming the goat's milk (choice
A) does not address the nutritional deficiency. Switching to soy milk (choice
B) may not be suitable due to potential allergies. Reinitiating breast feeding (choice
D) may not be feasible or preferred by the parent. Commercially prepared formula (choice
C) is specifically designed to meet the nutritional needs of infants and is the most appropriate choice in this scenario.