ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
Question 1 of 5
A nurse is providing discharge teaching to the guardian of a child who has cystic fibrosis. Which of the following statements by the guardian indicates an understanding of the teaching?
Correct Answer: C
Rationale:
Correct Answer: C. High-calorie diets are essential for CF due to malabsorption. A. Sweat testing is for diagnosis, not annual monitoring. B. Pancrelipase shouldn’t be chewed. D. Dornase alfa is once/twice daily, not every 4 hours.
Extract:
School-age child
Question 2 of 5
A nurse is teaching the parent of a school-age child about bicycle safety. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: Walking through intersections reduces collision risk, enhancing safety. B. 3 feet from the curb is safe but not the primary instruction here. C. Feet should touch the ground for control, not be 3-6 inches off. D. Riding against traffic increases collision risk.
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 3 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.
Extract:
Question 4 of 5
A nurse is providing discharge teaching to the guardian of a child who has cystic fibrosis. Which of the following statements by the guardian indicates an understanding of the teaching?
Correct Answer: C
Rationale:
Correct Answer: C. High-calorie diets are essential for CF due to malabsorption. A. Sweat testing is for diagnosis, not annual monitoring. B. Pancrelipase shouldn’t be chewed. D. Dornase alfa is once/twice daily, not every 4 hours.
Extract:
School-age child who weighs 55 lb
Question 5 of 5
A nurse is planning to administer diphenhydramine 1.25 mg/kg IV to a school-age child who weighs 55 lb. Available is diphenhydramine 50 mg/mL. How many mL should the nurse administer?
Correct Answer: B
Rationale:
Correct Answer: B. 55 lb = 25 kg; 1.25 mg/kg x 25 kg = 31.25 mg; 31.25 mg / 50 mg/mL = 0.625 mL, rounded to 0.6 mL.