ATI RN
ATI Pediatrics Exam NURS 243 Spring 2014 Questions
Extract:
A 3-month-old infant diagnosed with RSV bronchiolitis, tachypneic, rubbing eyes, appears sleepy, becomes more short of breath and irritable when laid flat.
Question 1 of 5
A nurse is providing care for a 3-month-old infant diagnosed with RSV bronchiolitis. The infant is tachypneic, rubbing his eyes, and appears sleepy. The mother places the infant flat, but the baby becomes more short of breath and irritable. Which of the following is the best advice for the nurse to give?
Correct Answer: D
Rationale: A 30-degree angle reduces work of breathing in RSV bronchiolitis, improving comfort and alleviating shortness of breath in a tachypneic infant.
Extract:
Parents obtaining informed consent for a child.
Question 2 of 5
When assisting in obtaining informed consent for a child, which of the following actions were taken?
Correct Answer: B,C,D
Rationale: Ensuring no pressure, explaining risks/benefits, and discussing alternatives ensure informed consent is clear and voluntary, avoiding complex terminology.
Extract:
A 3-year-old child with moderate dehydration.
Question 3 of 5
A 3-year-old child is admitted to a pediatric unit with moderate dehydration. The nurse would expect to see which of the following assessment findings in this child?
Correct Answer: D
Rationale: Moderate dehydration in a 3-year-old is indicated by poor skin turgor, oliguria, and a slightly elevated pulse (150 bpm), reflecting fluid loss and compensatory tachycardia.
Extract:
An infant with Hirschsprung's disease post-laparoscopically assisted endorectal pull-through procedure.
Question 4 of 5
The nurse is caring for an infant with Hirschsprung's disease who just returned from surgery for a laparoscopically assisted endorectal pull-through procedure. The nurse must monitor which of the following orders?
Correct Answer: A
Rationale: NPO until bowel sounds return prevents vomiting and aspiration, indicating gastrointestinal recovery post-surgery for Hirschsprung's disease.
Extract:
A 12-month-old with a weak cry, pale complexion, decreased breath sounds, retractions, and an oxygen saturation of 93%; a 5-year-old speaking in full sentences, pink complexion, bilateral wheezing, and an oxygen saturation of 93%; a 16-year-old speaking in short phrases, wheezing, sitting upright, and an oxygen saturation of 93%; a 9-year-old who is quiet, pale, sitting on his father's lap, bilateral wheezing, and an oxygen saturation of 93%.
Question 5 of 5
In the Emergency Department, four children are awaiting treatment for respiratory illnesses. Given that only one treatment room is available, which child should be prioritized based on the assessment findings?
Correct Answer: A
Rationale: The 12-month-old's weak cry, pallor, decreased breath sounds, and retractions indicate severe respiratory distress, requiring priority treatment.