ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
1-week-old newborn with hyperbilirubinemia treated with phototherapy
Question 1 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: A
Rationale: Phototherapy can overheat the newborn; monitoring temperature every 2 hours prevents hyperthermia. B. Mittens aren't related to phototherapy. C. Lotion interferes with treatment. D. Eye checks should be every 4 hours for irritation.
Extract:
Toddler with manifestations of epiglottitis
Question 2 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:
7-year-old client who weighs 18.1 kg (39.9 lb) admitted with a UTI. Child reports pain and burning upon urination and feeling like they need to go to the bathroom all the time. Child's guardian reports the client has been incontinent of urine the past 2 nights and that the urine has a very strong odor. Vital Signs 0715: Temperature 38° C (100.4° F), Heart rate 80/min, Respiratory rate 22/min, Blood pressure 106/65 mm Hg. 0930: Temperature 38.4° C (101.1° F), Heart rate 90/min, Respiratory rate 23/min, Blood pressure 105/65 mm Hg. Provider Prescriptions: 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 3 of 5
For each the following interventions, click to specify if the potential intervention is anticipated or contraindicated for the client.
| Intervention | Anticipated | Contraindicated |
|---|---|---|
| Educate the child about proper perineal hygiene. | ||
| Advise child's guardian about the use of sunscreen. | ||
| Administer salicylic acid for pain and fever. | ||
| Administer sulfamethoxazole and trimethoprim. | ||
| Ensure the child receives a maximum of 1,200 mL/day of fluid. |
Correct Answer: A: Anticipated, B: Contraindicated, C: Contraindicated, D: Anticipated, E: Contraindicated
Rationale: A. Anticipated: Hygiene prevents UTI recurrence. B. Contraindicated: Sunscreen isn't UTI-related. C. Contraindicated: Salicylic acid risks Reye's syndrome. D. Anticipated: Antibiotic treats UTI. E. Contraindicated: Fluid restriction worsens UTI; hydration is key.
Extract:
School-age child with pertussis
Question 4 of 5
A nurse is caring for a school-age child who has pertussis. Which of the following actions should the nurse take?
Correct Answer: C
Rationale:
Correct Answer: C. Pertussis is reportable to track and prevent outbreaks. A. 48-hour isolation isn’t standard; droplet precautions last longer. B. Vaccine is preventive, not treatment. D. Fluid restriction risks dehydration.
Extract:
School-age child with heart failure
Question 5 of 5
A nurse is caring for a school-age child who has heart failure. Which of the following findings should the nurse expect? Select all that apply.
Correct Answer: A,B,D
Rationale:
Correct Answer: A,B,D. A. Tachycardia compensates for poor cardiac output. B. Dyspnea results from lung fluid. D. Cyanosis occurs due to poor oxygenation. C. Weight gain, not loss, is typical due to fluid retention. E. Pulses are weak, not bounding.