ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
Four children on a pediatric unit
Question 1 of 5
A nurse on a pediatric unit is caring for four children. The nurse should use droplet precautions for which of the following children?
Correct Answer: D
Rationale: Influenza spreads via droplets, requiring precautions. A. Lice is contact-based. B. Conjunctivitis is contact-based. C. Hepatitis A is fecal-oral.
Extract:
Child 2 hr postoperative following a cardiac catheterization with dressing saturated with blood
Question 2 of 5
A nurse is assessing a child who is 2 hr postoperative following a cardiac catheterization and finds the dressing is saturated with blood. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Applying pressure above the site controls bleeding, the priority in this scenario. B. Pulse monitoring assesses circulation but isn't first. C. Vital signs are important but secondary to stopping bleeding. D. Reinforcing the dressing doesn't address active bleeding.
Extract:
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. Vital Signs 0730: Tympanic temperature 38.1° C (100.6° F), Heart rate 95/min, Respiratory rate 20/min, Oxygen saturation 98% on room air. 0800: Tympanic temperature 38.2° C (101° F), Heart rate 112/min, Respiratory rate 24/min, Oxygen saturation 96% on room air
Question 3 of 5
For each of the following findings, click to specify if the finding is consistent with acute laryngotracheobronchitis or pneumonia.
| Findings | Acute laryngotracheobronchitis | pneumonia |
|---|---|---|
| Temperature | ||
| Stridor | ||
| Irritability | ||
| Cough findings at 0800 |
Correct Answer: A: Both, B: Acute laryngotracheobronchitis, C: Both, D: Acute laryngotracheobronchitis
Rationale: A. Fever occurs in both. B. Stridor is classic for croup, not pneumonia. C. Irritability is nonspecific, seen in both. D. Barking cough is specific to croup.
Extract:
School-age child with pertussis
Question 4 of 5
A nurse is caring for a school-age child who has pertussis. Which of the following actions should the nurse take?
Correct Answer: C
Rationale:
Correct Answer: C. Pertussis is reportable to track and prevent outbreaks. A. 48-hour isolation isn’t standard; droplet precautions last longer. B. Vaccine is preventive, not treatment. D. Fluid restriction risks dehydration.
Extract:
School-age child
Question 5 of 5
A nurse is teaching the parent of a school-age child about bicycle safety. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: Walking through intersections reduces collision risk, enhancing safety. B. 3 feet from the curb is safe but not the primary instruction here. C. Feet should touch the ground for control, not be 3-6 inches off. D. Riding against traffic increases collision risk.