ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
5-year-old male 18 kg (39.7 lb) admitted following a motor-vehicle crash. Surgical procedure: L leg open reduction and fixation, L arm closed reduction and fixation. Vital Signs: Pulse rate 68/min, Respiratory rate 12/min, Blood pressure 80/42 mm Hg, Temperature 38.6° C (101.5° F), Oxygen saturation 91%. Medications: 0.9% sodium chloride IV at 100 mL/hr, Morphine 0.5 mg/hr IV, Acetaminophen 200 mg PO every 4 hr PRN for temperature >38° C
Question 1 of 5
A nurse is caring for a child who is 2 hr postoperative. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Comparing pedal pulses assesses circulation post-orthopedic surgery, the priority to detect complications like compartment syndrome. B. Sedation is secondary. C. Pain assessment follows circulation check. D. Temperature is less urgent.
Extract:
Child with heart failure
Question 2 of 5
A nurse is assessing a child who has heart failure. Which of the following findings is a clinical manifestation associated with this diagnosis?
Correct Answer: C
Rationale:
Correct Answer: C. Tachypnea compensates for poor oxygenation in heart failure. A. Tachycardia, not bradycardia, is typical. B. Appetite decreases due to fatigue. D. Tremors aren’t related.
Extract:
Toddlers receiving digoxin therapy
Question 3 of 5
A nurse is caring for a group of toddlers receiving digoxin therapy. For which of the following toddlers should the nurse revise the plan of care?
Correct Answer: D
Rationale: Vomiting twice in an hour may signal digoxin toxicity, requiring plan revision. A. Pulse is normal (90-140/min). B. Potassium is normal. C. Digoxin level is therapeutic.
Extract:
Question 4 of 5
A nurse is teaching the guardian of a toddler about discipline. Which of the following statements by the guardian indicates an understanding of the teaching?
Correct Answer: A
Rationale:
Correct Answer: A. Reasoning and explaining are effective for toddlers to learn appropriate behavior. B. Ignoring tantrums may confuse the child. C. One warning may not suffice for understanding. D. Past misbehavior focus isn’t effective due to short attention spans.
Extract:
Preschool-age child with sleep terrors
Question 5 of 5
A nurse is teaching a parent of a preschool-age child about management of sleep terrors. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale:
Correct Answer: A. Staying uninvolved avoids reinforcing sleep terrors unless safety is an issue. B. Parent’s bed risks dependency. C. Counseling isn’t first-line. D. TV disrupts sleep cycles.