ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
Preschool-age child postoperative following a tonsillectomy
Question 1 of 5
A nurse is caring for a preschool-age child who is postoperative following a tonsillectomy and is clearing her throat frequently. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale:
Correct Answer: C. Frequent throat clearing may indicate bleeding, a serious complication post-tonsillectomy, requiring immediate inspection. A. Water could worsen bleeding. B. Pain relief is secondary to checking for bleeding. D. Ice helps swelling but isn’t first.
Extract:
Question 2 of 5
A nurse is performing an assessment for a 5-year-old child who has celiac disease. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale:
Correct Answer: D. Steatorrhea (fatty stools) is common in celiac disease due to fat malabsorption. A. Sausage-shaped mass suggests intussusception. B. Red-currant stools are linked to intussusception. C. Hematemesis is associated with GI bleeding, not celiac disease.
Extract:
Child with juvenile idiopathic arthritis and a new prescription for prednisone
Question 3 of 5
A nurse is providing discharge teaching to a parent of a child who has juvenile idiopathic arthritis and a new prescription for prednisone. Which of the following statements should the nurse include in the teaching?
Correct Answer: B
Rationale: Prednisone increases infection risk; monitoring is essential. A. Potassium restriction isn't needed. C. Growth may be stunted, not spurred. D. Stopping abruptly is dangerous; consult the provider.
Extract:
Question 4 of 5
A nurse is caring for a child who has had a lumbar puncture. The nurse should monitor the child for which of the following complications?
Correct Answer: D
Rationale:
Correct Answer: D. Headache is a common complication post-lumbar puncture due to CSF leak, worsening when upright. A. Double vision isn’t typical. B. Nuchal rigidity suggests meningitis, not a direct complication. C. Pain at the iliac crest isn’t related to the procedure site.
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 5 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.