ATI RN
ATI RN Pediatric Assessment 2022 Questions
Extract:
A preschooler with a history of cleft palate repair
Question 1 of 5
A preschooler with a history of cleft palate repair comes to the clinic for a routine well-child checkup. To determine whether this child is experiencing a long-term effect of cleft palate, which question would the nurse ask the parent?
Correct Answer: A
Rationale: Difficulty swallowing is a potential long-term effect of cleft palate repair. B, C, and D are unrelated to cleft palate outcomes.
Extract:
A 6-year-old child experiencing itchy, red, and swollen eyes
Question 2 of 5
The parent of a 6-year-old child arrives at a clinic because the child has been experiencing itchy, red, and swollen eyes. The nurse notes a discharge from the eyes and sends a culture to the laboratory for analysis. Chlamydial conjunctivitis is diagnosed. On the basis of this diagnosis, the nurse determines that which requires further investigation?
Correct Answer: A
Rationale: Chlamydial conjunctivitis in a child may indicate sexual abuse, as Chlamydia trachomatis is typically transmitted via genital secretions. B, C, and D are less likely causes.
Extract:
A 10-year-old child in remission from leukemia with cushingoid characteristics from long-term corticosteroid use
Question 3 of 5
The parents of a 10-year-old child in remission from leukemia are upset over the appearance of cushingoid characteristics in the child from long-term use of corticosteroids, currently being administered every other day. Which therapeutic statements would the nurse make to the parents about the cushingoid appearance? Select all that apply.
Correct Answer: A,C,E
Rationale: A: Alternate-day dosing reduces cushingoid effects. C: Asking about troublesome manifestations supports parents. E: Cushingoid features resolve after tapering. B is less therapeutic, and D dismisses concerns.
Extract:
A 9-year-old child newly diagnosed with diabetes mellitus
Question 4 of 5
A parent of a 9-year-old child newly diagnosed with diabetes mellitus is very concerned about the child participating in social events at school. The nurse creating a plan of care would formulate which goals to address these concerns? Select all that apply.
Correct Answer: A,B,C,D,E
Rationale: All options are correct. A: Integrating diabetes care into daily activities ensures social participation. B: Discussing the illness promotes understanding. C: Coping mechanisms manage anxiety. D: Communication with school staff supports the child's environment. E: Maintaining growth and development ensures normalcy.
Extract:
An infant with cystic fibrosis
Question 5 of 5
The clinic nurse is providing instructions to the parent of a child with cystic fibrosis regarding the immunization schedule for the child. Which statement would the nurse make to the parent?
Correct Answer: C
Rationale: Children with CF should receive standard immunizations plus annual influenza vaccination to prevent respiratory complications. A, B, and D are incorrect.