ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
School-age child admitted, diagnosed with cystic fibrosis at 3 months of age, has experienced failure to thrive, and has chronic obstructive pulmonary disease. The child presents with wheezing, rhonchi, paroxysmal cough, and dyspnea. The parent reports large, frothy, foul-smelling stools. The child has deficient levels of vitamin A, D, E, and K. Barrel-shaped chest, Clubbing of the fingers bilaterally, Respiratory rate 40/min with wheezing and rhonchi noted bilaterally, dyspnea, and paroxysmal cough
Question 1 of 5
A nurse is reviewing the child's medical record. Which of the following medications should the nurse expect the provider to prescribe or reconcile from the child's home medication list? Select all that apply.
Correct Answer: B,D
Rationale: The correct answers are B (Dornase alfa) and D (Pancreatic Apase) because they are specific medications used for respiratory and pancreatic conditions in children. Dornase alfa is used in cystic fibrosis to help clear mucus, and Pancreatic Apase aids in digestion. Water-soluble vitamins (
A) are typically available over the counter and not usually prescribed. Acetaminophen (
C) is a common over-the-counter pain reliever. Meperidine (E) is a narcotic pain medication not commonly used in children due to safety concerns.
Extract:
Question 2 of 5
A nurse is providing teaching to the parent of a toddler who is scheduled for an electrocardiogram. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: The correct answer is C: Your child can rest on your lap during the procedure. This statement is correct because allowing the child to rest on the parent's lap can provide comfort and security during the procedure, reducing anxiety and promoting cooperation. Placing the child on the parent's lap can also help keep the child still, ensuring accurate results.
Choice A is incorrect because leads for an electrocardiogram are typically placed on the chest, not the back.
Choice B is incorrect because the duration of an electrocardiogram can vary but is usually shorter than 30 minutes for a toddler.
Choice D is incorrect because alarms are not typically used during the procedure unless there is a medical emergency.
Extract:
Toddler after orchiopexy procedure
Question 3 of 5
A nurse is providing education to the parents of a toddler who is being discharged after an orchiopexy procedure. Which of the following statements indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A because it shows understanding of the post-operative care instructions following an orchiopexy procedure. Restricting straddling activities for 2 weeks helps prevent stress on the surgical area, promoting healing.
Choice B is incorrect as resuming all physical activities too soon can lead to complications.
Choice C is incorrect as the procedure does not eliminate the risk of fertility issues.
Choice D is incorrect because pain medications may be needed post-operatively.
Extract:
School-age child who weighs 20 kg (44 lb) postoperative with chest tubes
Question 4 of 5
A nurse is caring for a school-age child who weighs 20 kg (44 lb) and is postoperative with chest tubes in place. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Chest tube drainage of 200 mL in 1 hr. This finding should be reported to the provider because it indicates excessive chest tube drainage, which could signal a complication such as hemorrhage or fluid imbalance that needs immediate intervention. Other choices are not as concerning:
A) Respiratory rate within normal limits,
C) Serous drainage is expected postoperatively,
D) Fluctuation in water-sealed chamber is normal. Reporting excessive chest tube drainage helps prevent further complications.
Extract:
Question 5 of 5
A nurse in a pediatric clinic is planning care for four children. The nurse should anticipate a provider's prescription for an auditory evaluation for which of the following children?
Correct Answer: B
Rationale: The correct answer is B. A 3-month-old infant discharged after bacterial meningitis is at risk for hearing loss due to potential damage to the auditory nerve or inner ear structures. Early detection is crucial for intervention.
Choice A is incorrect because stuttering is not a direct indication for an auditory evaluation.
Choice C is incorrect as erythromycin does not typically affect hearing.
Choice D is incorrect as loose stools and babbling are not indicative of needing an auditory evaluation at this age.