ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
Child with HIV
Question 1 of 5
A nurse is providing teaching to a parent of a child who has HIV. Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: C
Rationale: Annual TB testing is crucial due to HIV's infection risk. A. Doubling meds is incorrect. B. HIV has no remission; live vaccines are avoided. D. Transmission risk drops with ART, but not eliminated.
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 2 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:
Guardian states the child has been unable to sleep recently and has been very irritable. Guardian expresses concern about the child's atopic dermatitis worsening and the child scratching excessively, resulting in bleeding. History of allergic rhinitis. Assessment: Child alert, respiratory rate 24/min, no adventitious sounds, heart rate 108/min, generalized reddish scaly patches with lichenifications and depigmentation on bilateral extremities. Medication: Diphenhydramine 10 mg PO 4 times per day, Pimecrolimus 1% cream daily
Question 3 of 5
Which of the following statements should the nurse plan to include in the discharge instructions for the child's guardian? Select all that apply.
Correct Answer: A,B,C,D,E
Rationale: A. Short nails prevent scratching damage. B. Emollients lock in moisture, aiding dermatitis. C. Gloves reduce scratching at night. D. Mild detergent avoids irritation. E. Flare-ups are chronic in atopic dermatitis. F. It's not contagious. G. Thin layer of pimecrolimus is correct.
Extract:
Question 4 of 5
A nurse is performing a physical assessment for a preschooler. Which of the following actions should the nurse take?
Correct Answer: C
Rationale:
Correct Answer: C. Tumbling E chart is suitable for preschoolers’ visual acuity. A. Correct but not unique to preschoolers; 5 min is ideal. B. Diaphragm, not bell, is for breath sounds. D. Chest observation is better for preschoolers.
Question 5 of 5
A nurse is caring for a child whose guardian requests information about essential oils to help their child relax. Which of the following oils should the nurse recommend?
Correct Answer: C
Rationale:
Correct Answer: C. Lavender is known for its calming effects. A. Tea tree is antimicrobial. B. Eucalyptus is stimulating. D. Jasmine is uplifting, not primarily relaxing.