ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
Child at end-of-life stage
Question 1 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:
Child recently admitted for suspected rheumatic fever
Question 2 of 5
A nurse is reviewing the laboratory results of a child who was recently admitted for suspected rheumatic fever. The nurse should identify that which of the following laboratory tests can contribute to confirming this diagnosis? Select all that apply.
Correct Answer: C,D,E
Rationale: C. CRP indicates inflammation, elevated in rheumatic fever. D. ASO titer shows prior streptococcal infection, key to diagnosis. E. ESR, another inflammation marker, supports diagnosis. A. BUN assesses kidney function, not specific. B. PTT evaluates clotting, unrelated.
Extract:
Question 3 of 5
A nurse is preparing to administer an oral medication to a preschooler. Which of the following actions should the nurse take to encourage acceptance of the medication?
Correct Answer: C
Rationale:
Correct Answer: C. Offering an ice pop after administering the medication is a positive reinforcement technique and can help numb the taste buds, reducing the aftertaste. A. Mixing with favorite food risks aversion and incomplete dosing. B. Diluting with 8 oz may reduce efficacy and be hard for a preschooler to drink. D. Milk can interfere with absorption and may be refused if the taste is unpleasant.
Extract:
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, non-productive cough present.
Question 4 of 5
For each of the following findings, click to specify if the finding is consistent with acute laryngotracheobronchitis or pneumonia.
| Finding | acute laryngotracheobronchitis | pneumonia |
|---|---|---|
| Temperature | ||
| Cough findings at 0800 | ||
| Irritability | ||
| Stridor |
Correct Answer: A: Acute laryngotracheobronchitis and Pneumonia, (B: C: D:) Acute laryngotracheobronchitis
Rationale: Temperature: Both conditions can present with fever. Cough findings at 0800: A barking cough is classic for acute laryngotracheobronchitis (croup), not pneumonia. Irritability: Nonspecific symptom present in both due to discomfort. Stridor: Hallmark of croup due to upper airway inflammation, not typical in pneumonia.
Extract:
Preschool-age child who recently experienced the death of a sibling
Question 5 of 5
A nurse in a family practice clinic is assessing a preschool-age child who recently experienced the death of a sibling. Which of the following reactions is an age-appropriate response to death?
Correct Answer: C
Rationale:
Correct Answer: C. Curiosity about the body is normal for preschoolers learning about death. A. Magical thinking is common but not the best answer here. B. They don’t grasp permanence yet. D. Logical explanations develop later.