ATI RN
ATI RN Nursing Care of Children 2019 Questions
Extract:
Child recently admitted for suspected rheumatic fever
Question 1 of 5
A nurse is reviewing the laboratory results of a child who was recently admitted for suspected rheumatic fever. The nurse should identify that which of the following laboratory tests can contribute to confirming this diagnosis?
Correct Answer: B,C,E
Rationale: ESR, ASO titer, and CRP indicate inflammation and streptococcal infection, confirming rheumatic fever.
Extract:
4-year-old child with meningitis receiving gentamicin
Question 2 of 5
A nurse is caring for a 4-year-old child who has meningitis and is receiving gentamicin. Which of the following laboratory values should the nurse report to the provider?
Correct Answer: A
Rationale: A creatinine level of 1.4 mg/dL suggests nephrotoxicity, a serious side effect of gentamicin, requiring immediate reporting.
Extract:
6-month-old infant with respiratory syncytial virus
Question 3 of 5
A nurse is assessing a 6-month-old infant who has respiratory syncytial virus. The nurse should immediately report which of the following findings to the provider?
Correct Answer: B
Rationale: Oxygen saturation below 90% or central cyanosis indicates severe hypoxemia, requiring immediate intervention to ensure adequate oxygenation.
Extract:
Four children: toddler with nephrotic syndrome, adolescent with Crohn's disease, preschool-age child with muffled voice, school-age child with diabetes mellitus
Question 4 of 5
A nurse in an urgent care clinic is prioritizing care for four children. Which of the following children should the nurse assess first?
Correct Answer: C
Rationale: A muffled voice and no cough suggest epiglottitis, a life-threatening airway emergency.
Extract:
Child with scabies
Question 5 of 5
A nurse is providing teaching about home care to the parent of a child who has scabies. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: Treating close contacts prevents scabies reinfestation, as it's highly contagious.