ATI RN
ATI Pediatrics Exam NURS 243 Spring 2014 Questions
Extract:
A 6-year-old admitted due to dehydration following a tonsillectomy 26 hours ago, with vital signs: Temperature: 100.9°F, Pulse: 150 bpm, Respiration: 28, Blood Pressure: 88/50, Pain: Throat 10.
Question 1 of 5
A nurse is providing care for a 6-year-old patient who was admitted due to dehydration following a tonsillectomy 26 hours ago. The patient's vital signs are as follows: Temperature: 100.9°F, Pulse: 150 bpm (apically), Respiration: 28, Blood Pressure: 88/50, Pain: Ears 0, Throat 10 using FACES pain scale, Weight: 40 lbs. Complete the following sentence by using the list of options as evidenced by: The patient is most at risk for:
Correct Answer: A
Rationale: Severe throat pain and tachycardia suggest ongoing dehydration, exacerbated by reduced intake post-tonsillectomy.
Extract:
A child with a tracheostomy tube.
Question 2 of 5
When teaching home tracheotomy care to caregivers of a child with a tracheostomy tube, which of the following topics are essential to include in teaching?
Correct Answer: B,C,D
Rationale: Emergency equipment, regular tube changes, and secretion monitoring are critical for safety and infection prevention, while a cool, dry environment is less relevant.
Extract:
A school-aged child with cystic fibrosis prescribed vest therapy.
Question 3 of 5
A nurse is reviewing the care plan with a school-aged child who has cystic fibrosis and a prescription to receive vest therapy to mobilize respiratory secretions. Which of the following statements by the child indicates an understanding of the plan?
Correct Answer: D
Rationale: Administering albuterol, a bronchodilator, prior to vest therapy opens airways, enhancing the effectiveness of secretion mobilization in cystic fibrosis.
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 child with asthma prescribed an albuterol inhaler with a spacer.
Question 5 of 5
A nurse is caring for a child with asthma who is prescribed to use an albuterol inhaler with a spacer. The parents ask how albuterol helps the child's breathing. Which of the following responses will the nurse include?
Correct Answer: A,C,D
Rationale: Albuterol, a bronchodilator, opens airways, reduces wheezing, and alleviates coughing and shortness of breath. It does not thin mucus or act as a steroid.