ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
Toddlers
Question 1 of 5
A nurse is reviewing safety measures with a group of parents to prevent burn injuries for toddlers. Which of the following safety measures should the nurse include in the teaching?
Correct Answer: B
Rationale: Hiding electrical wires prevents burns or electrocution from toddler exploration. A. 60°C is too hot; 49°C is safer. C. Front-facing handles risk spills. D. 1100-1300 is peak sun time, increasing burn risk.
Extract:
Preschool-age child postoperative following a tonsillectomy
Question 2 of 5
A nurse is caring for a preschool-age child who is postoperative following a tonsillectomy and is clearing her throat frequently. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale:
Correct Answer: C. Frequent throat clearing may indicate bleeding, a serious complication post-tonsillectomy, requiring immediate inspection. A. Water could worsen bleeding. B. Pain relief is secondary to checking for bleeding. D. Ice helps swelling but isn’t first.
Extract:
3-year-old child
Question 3 of 5
A nurse is preparing to administer an IM injection to a 3-year-old child. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: Little stick' minimizes fear with simple terms. B. Conditional rewards pressure the child. C. Vague promises confuse. D.
Choice is impractical and confusing.
Extract:
7-year-old client who weighs 18.1 kg (39.9 lb) admitted with a UTI. Child reports pain and burning upon urination and feeling like they need to go to the bathroom all the time. Child's guardian reports the client has been incontinent of urine the past 2 nights and that the urine has a very strong odor. Vital Signs 0715: Temperature 38° C (100.4° F), Heart rate 80/min, Respiratory rate 22/min, Blood pressure 106/65 mm Hg. 0930: Temperature 38.4° C (101.1° F), Heart rate 90/min, Respiratory rate 23/min, Blood pressure 105/65 mm Hg. Provider Prescriptions: Sulfamethoxazole and trimethoprim 8 mg TMP/kg/day PO, Salicylic acid 20 mg/kg/dose every 4 hr as needed for pain and fever
Question 4 of 5
For each the following interventions, click to specify if the potential intervention is anticipated or contraindicated for the client.
| Intervention | Anticipated | Contraindicated |
|---|---|---|
| Educate the child about proper perineal hygiene. | ||
| Advise child's guardian about the use of sunscreen. | ||
| Administer salicylic acid for pain and fever. | ||
| Administer sulfamethoxazole and trimethoprim. | ||
| Ensure the child receives a maximum of 1,200 mL/day of fluid. |
Correct Answer: A: Anticipated, B: Contraindicated, C: Contraindicated, D: Anticipated, E: Contraindicated
Rationale: A. Anticipated: Hygiene prevents UTI recurrence. B. Contraindicated: Sunscreen isn't UTI-related. C. Contraindicated: Salicylic acid risks Reye's syndrome. D. Anticipated: Antibiotic treats UTI. E. Contraindicated: Fluid restriction worsens UTI; hydration is key.
Extract:
5-year-old male 18 kg (39.7 lb) admitted following a motor-vehicle crash. Surgical procedure: L leg open reduction and fixation, L arm closed reduction and fixation. Vital Signs: Pulse rate 68/min, Respiratory rate 12/min, Blood pressure 80/42 mm Hg, Temperature 38.6° C (101.5° F), Oxygen saturation 91%. Medications: 0.9% sodium chloride IV at 100 mL/hr, Morphine 0.5 mg/hr IV, Acetaminophen 200 mg PO every 4 hr PRN for temperature >38° C
Question 5 of 5
A nurse is caring for a child who is 2 hr postoperative. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Comparing pedal pulses assesses circulation post-orthopedic surgery, the priority to detect complications like compartment syndrome. B. Sedation is secondary. C. Pain assessment follows circulation check. D. Temperature is less urgent.