ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
Vital Signs at 0730: Tympanic temperature: 38.1°C (100.6°F), Heart rate: 95/min, Respiratory rate: 20/min; Vital Signs at 0800: Tympanic temperature: 38.2°C (101°F), Heart rate: 112/min, Respiratory rate: 24/min, Oxygen saturation: 96% on room air; Assessment Findings at 0800: Cough, Stridor, Irritability; Medical History: No known allergies, Up-to-date on vaccinations, History of frequent upper respiratory infections, No significant past medical history; Nurses Notes at 0900: The child appears increasingly irritable and is crying intermittently. The cough has become more frequent and is now accompanied by a hoarse voice. The child is refusing to eat or drink and appears fatigued. Parents report that the child had difficulty sleeping the previous night due to coughing. The child is observed to have nasal flaring and mild intercostal retractions. The child is sitting upright and leaning forward, appearing to be in mild respiratory distress. The skin is warm to touch, and the child is sweating; Physical Examination Results at 0900: Nasal flaring, Mild intercostal retractions, Hoarse voice, Sitting upright and leaning forward, Warm skin, Sweating; A nurse is caring for a 3-year-old child in the pediatric unit.
Question 1 of 5
Based on the exhibits provided, which of the following findings are consistent with the child's condition? Select all that apply.
Correct Answer: A,B,D
Rationale:
Choice A rationale: A hoarse voice is consistent with the child's condition. The child has a frequent cough and stridor, which can cause irritation and inflammation of the vocal cords, leading to a hoarse voice.
Choice B rationale: Nasal flaring is a sign of respiratory distress. It indicates that the child is working harder to breathe, which is consistent with the observed symptoms of stridor, cough, and mild intercostal retractions.
Choice C rationale: Increased appetite is not consistent with the child's condition. The child is refusing to eat or drink and appears fatigued, which is typical in cases of respiratory distress and illness.
Choice D rationale: Sitting upright and leaning forward is a common position adopted by children in respiratory distress. This position helps to open the airway and makes breathing easier.
Choice E rationale: Decreased respiratory rate is not consistent with the child's condition. The child's respiratory rate has increased from 20/min to 24/min, indicating increased effort to breathe due to respiratory distress.
Extract:
A nurse on a pediatric unit is caring for four children.
Question 2 of 5
The nurse should use droplet precautions for which of the following children?
Correct Answer: C
Rationale: Conjunctivitis and lice spread by contact, hepatitis A by fecal-oral route. Influenza requires droplet precautions due to respiratory droplet transmission.
Extract:
A nurse is planning care for a child who has varicella.
Question 3 of 5
Which of the following interventions should the nurse plan to include?
Correct Answer: D
Rationale: Koplik spots are for measles, not varicella. Aspirin risks Reye's syndrome. A blanket aids comfort but isn't specific. Airborne precautions prevent varicella's spread via droplets.
Extract:
A nurse in a school-based health center is educating a group of adolescents about prevention and treatment of sexually transmitted infections (STIs).
Question 4 of 5
Which of the following information should the nurse include in the teaching?
Correct Answer: C
Rationale: Abstinence prevents STIs. Adolescents have higher STI risk. Prompt treatment prevents complications like infertility. One partner doesn't eliminate risk if they're infected.
Extract:
Vital Signs at 0730: Tympanic temperature: 38.1°C (100.6°F), Heart rate: 95/min, Respiratory rate: 20/min; Vital Signs at 0800: Tympanic temperature: 38.2°C (101°F), Heart rate: 112/min, Respiratory rate: 24/min, Oxygen saturation: 96% on room air; Assessment Findings at 0800: Cough, Stridor, Irritability; Medical History: No known allergies, Up-to-date on vaccinations, History of frequent upper respiratory infections, No significant past medical history; Nurses Notes at 0900: The child appears increasingly irritable and is crying intermittently. The cough has become more frequent and is now accompanied by a hoarse voice. The child is refusing to eat or drink and appears fatigued. Parents report that the child had difficulty sleeping the previous night due to coughing. The child is observed to have nasal flaring and mild intercostal retractions. The child is sitting upright and leaning forward, appearing to be in mild respiratory distress. The skin is warm to touch, and the child is sweating; Physical Examination Results at 0900: Nasal flaring, Mild intercostal retractions, Hoarse voice, Sitting upright and leaning forward, Warm skin, Sweating; A nurse is caring for a 3-year-old child in the pediatric unit.
Question 5 of 5
Based on the exhibits provided, which of the following findings are consistent with the child's condition? Select all that apply.
Correct Answer: A,B,D
Rationale:
Choice A rationale: A hoarse voice is consistent with the child's condition. The child has a frequent cough and stridor, which can cause irritation and inflammation of the vocal cords, leading to a hoarse voice.
Choice B rationale: Nasal flaring is a sign of respiratory distress. It indicates that the child is working harder to breathe, which is consistent with the observed symptoms of stridor, cough, and mild intercostal retractions.
Choice C rationale: Increased appetite is not consistent with the child's condition. The child is refusing to eat or drink and appears fatigued, which is typical in cases of respiratory distress and illness.
Choice D rationale: Sitting upright and leaning forward is a common position adopted by children in respiratory distress. This position helps to open the airway and makes breathing easier.
Choice E rationale: Decreased respiratory rate is not consistent with the child's condition. The child's respiratory rate has increased from 20/min to 24/min, indicating increased effort to breathe due to respiratory distress.