ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
Toddlers receiving digoxin therapy
Question 1 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 2 of 5
A nurse is performing a cranial nerve assessment on a school-age child. Which of the following findings indicates proper functioning of the child's trigeminal nerve?
Correct Answer: D
Rationale:
Correct Answer: D. Symmetrical jaw strength tests the trigeminal nerve (CN V). A. Gag reflex tests CN IX and X. B. Balance involves CN VIII. C. Scents test CN I.
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 charge nurse is observing a staff nurse who is caring for a child who has pertussis. Which of the following actions by the staff nurse indicates an understanding of infection control practices?
Correct Answer: B
Rationale:
Correct Answer: B. Droplet precautions are correct for pertussis transmission. A. Airborne precautions (N95) are excessive. C. Gloves don’t address droplets. D. Mask should be on before entry.
Extract:
Question 5 of 5
A nurse is providing teaching about injury prevention to the parents of a toddler. Which of the following safety measures should the nurse include in the teaching?
Correct Answer: D
Rationale:
Correct Answer: D. Loose buttons are a choking hazard; checking them is key. A. Balloons pose a choking risk. B. 54°C is too hot; 49°C is safer. C. Screens don’t prevent falls; guards do.