ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
Question 1 of 5
A nurse is reviewing the admission prescriptions for a 6-year-old child who has cystic fibrosis. For which of the following prescriptions should the nurse contact the child's provider?
Correct Answer: B
Rationale: The correct answer is B: Perform airway clearance therapy prior to bronchodilator medications. For a child with cystic fibrosis, airway clearance therapy helps to clear mucus from the lungs, improving breathing. Performing this therapy before using bronchodilator medications ensures that the airways are cleared for optimal delivery of the bronchodilator. Contacting the provider is important to confirm the correct sequence of treatments and to avoid any potential adverse effects or interactions.
Incorrect choices:
A: Administering water-miscible vitamins A, D, E, and K is a standard treatment for cystic fibrosis and does not require immediate provider contact.
C: Encouraging intake of a high-calorie, high-protein diet is also a common recommendation for children with cystic fibrosis to support growth and weight gain.
D: Using the airway clearance therapy device every 2 hours while awake is a frequent regimen for managing cystic fibrosis and does not warrant
Question 2 of 5
A nurse is assessing a 7-year-old child who has diabetes mellitus. Which of the following findings should the nurse identify as a manifestation of hypoglycemia?
Correct Answer: B
Rationale: The correct answer is B: Shakiness. Hypoglycemia in a child with diabetes can lead to shakiness due to low blood sugar levels affecting the brain's function. Shakiness is a common symptom of hypoglycemia as the body tries to increase blood sugar levels. Decreased appetite (
A) is more indicative of hyperglycemia. Increased capillary refill (
C) and thirst (
D) are not specific manifestations of hypoglycemia.
Question 3 of 5
A nurse is assessing a child who has measles. Which of the following areas should the nurse inspect for Koplik spots?
Correct Answer: C
Rationale: The correct answer is C. Koplik spots are small, white spots with a blue-white center on the buccal mucosa opposite the molars. This area (
C) is where the nurse should inspect for Koplik spots in a child with measles. The other choices (A, B, D, E, F, G) are incorrect because Koplik spots specifically appear on the buccal mucosa and not on other areas such as the tongue (
A), palate (
B), or lips (
D).
Therefore, inspecting these areas would not help identify Koplik spots.
Question 4 of 5
A nurse is planning care for a preschooler who has neutropenia. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: The correct answer is B: Avoid raw fruits and vegetables in the child's diet. Neutropenia is a condition characterized by a low neutrophil count, making the child more susceptible to infections. Raw fruits and vegetables may harbor bacteria, posing a risk of infection for the child with neutropenia.
Therefore, it is crucial to avoid these foods to reduce the risk of bacterial contamination. Administering vaccines (choice
A) may not be advisable due to the child's compromised immune system. Bathing the child every other day (choice
C) and obtaining rectal temperature once daily (choice
D) are not directly related to preventing infection in a child with neutropenia.
Extract:
A nurse is assessing a preschool-age child who is in the immediate postoperative period following a tonsillectomy.
Question 5 of 5
Which of the following assessment findings is the priority?
Correct Answer: B
Rationale: The correct answer is B because frequent swallowing could indicate airway obstruction, requiring immediate attention to prevent respiratory distress. Throat pain (
A) can be managed with pain relief. Refusing clear liquids (
C) can be addressed once airway is secured. Crying often (
D) may be due to discomfort but doesn't indicate immediate danger.