ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
Infant who weighs 7.8 kg (17.2 lb) admitted yesterday for moderate dehydration
Question 1 of 5
A nurse is caring for an infant who weighs 7.8 kg (17.2 lb) and was admitted yesterday for treatment of moderate dehydration. Which of the following findings indicates to the nurse that the infant's condition is improving?
Correct Answer: D
Rationale:
Correct Answer: D. A level, soft fontanelle indicates improved hydration. A. 70/min is high, suggesting distress. B. >3 sec refill shows poor perfusion. C. Dry membranes indicate ongoing dehydration.
Extract:
Child with varicella
Question 2 of 5
A nurse is planning care for a child who has varicella. Which of the following interventions should the nurse plan to include?
Correct Answer: C
Rationale: Varicella spreads via airborne routes; precautions prevent transmission. A. Aspirin risks Reye's syndrome. B. Warmth increases discomfort; cool is better. D. Koplik spots are for measles, not varicella.
Extract:
Toddler with manifestations of epiglottitis
Question 3 of 5
A nurse in an emergency department is caring for a toddler who has manifestations of epiglottitis. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale:
Correct Answer: D. Epiglottitis spreads via droplets; initiating precautions first protects others. A. X-ray aids diagnosis but isn’t first. B. Intubation prep is secondary. C. Antibiotics follow precautions.
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 4 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.
Extract:
Child 2 hr postoperative following a cardiac catheterization with dressing saturated with blood
Question 5 of 5
A nurse is assessing a child who is 2 hr postoperative following a cardiac catheterization and finds the dressing is saturated with blood. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Applying pressure above the site controls bleeding, the priority in this scenario. B. Pulse monitoring assesses circulation but isn't first. C. Vital signs are important but secondary to stopping bleeding. D. Reinforcing the dressing doesn't address active bleeding.