ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
5-year-old child following a tonsillectomy and adenoidectomy
Question 1 of 5
A nurse is caring for a 5-year-old child following a tonsillectomy and adenoidectomy. Which of the following findings should the nurse identify as an indication of hemorrhage?
Correct Answer: C
Rationale: Continuous swallowing suggests bleeding as the child clears blood from the throat, a critical sign. A. Normal heart rate doesn't indicate hemorrhage. B. Flushing isn't specific. D. Normal BP doesn't rule out bleeding.
Extract:
Child at end-of-life stage
Question 2 of 5
A nurse is caring for a child on a pediatric unit who is at the end-of-life stage. Which of the following actions should the nurse take to help the sibling cope with the child's diagnosis?
Correct Answer: A
Rationale:
Correct Answer: A. Child Life Specialists help siblings cope with end-of-life issues. B. Talking aids coping. C. Limiting time may increase anxiety. D. Exclusion can heighten distress.
Extract:
Preschool-age child in the immediate postoperative period following a tonsillectomy
Question 3 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: Frequent swallowing indicates possible hemorrhage, the priority due to its urgency. A. Crying is common but less critical. B. Refusing liquids is concerning but secondary. C. Pain is expected, not the top priority.
Extract:
Question 4 of 5
A nurse is providing discharge teaching to the guardian of a child who has cystic fibrosis. Which of the following statements by the guardian indicates an understanding of the teaching?
Correct Answer: C
Rationale:
Correct Answer: C. High-calorie diets are essential for CF due to malabsorption. A. Sweat testing is for diagnosis, not annual monitoring. B. Pancrelipase shouldn’t be chewed. D. Dornase alfa is once/twice daily, not every 4 hours.
Extract:
School-age child admitted, diagnosed with cystic fibrosis at 3 months of age, has experienced failure to thrive, and has chronic obstructive pulmonary disease. The child presents with wheezing, rhonchi, paroxysmal cough, and dyspnea. The parent reports large, frothy, foul-smelling stools. The child has deficient levels of vitamin A, D, E, and K. Barrel-shaped chest, Clubbing of the fingers bilaterally, Respiratory rate 40/min with wheezing and rhonchi noted bilaterally, dyspnea, and paroxysmal cough
Question 5 of 5
A nurse is reviewing the child's medical record. Which of the following medications should the nurse expect the provider to prescribe or reconcile from the child's home medication list? Select all that apply.
Correct Answer: B,D
Rationale:
Correct Answer: B,D. -Water-soluble vitamins: Children with cystic fibrosis often have deficiencies in fat-soluble vitamins (A, D, E, and K) due to malabsorption related to pancreatic insufficiency. Supplementing with water-soluble vitamins is not typically indicated as they are not affected by pancreatic insufficiency. -Dornase alfa: Dornase alfa is a recombinant human deoxyribonuclease enzyme that helps to thin and break down the thick, tenacious mucus in the airways of patients with cystic fibrosis. It is commonly prescribed to improve respiratory symptoms such as wheezing, rhonchi, and dyspnea. -Acetaminophen: Acetaminophen may be prescribed for pain or fever relief, but it is not specific to cystic fibrosis management. However, it may be used to alleviate symptoms such as headache or discomfort associated with cystic fibrosis exacerbations. -Pancreatic Apase: Pancreatic enzymes (e.g., pancreatic lipase, protease, and amylase) are essential for digestion and absorption of nutrients in individuals with cystic fibrosis-associated pancreatic insufficiency. Pancreatic enzyme replacement therapy (PERT) with pancreatic Apase supplements is crucial for improving nutrient absorption and preventing malnutrition. -Meperidine is an opioid analgesic that is not typically used in the management of cystic fibrosis. While pain management may be necessary for some patients with cystic fibrosis, opioids are generally not recommended due to concerns about respiratory depression and addiction potential.