ATI RN
ATI Nur307 Pediatrics Quiz Questions
Extract:
Nurse Notes: 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 (100.6 F), Heart rate 95/min, Respiratory rate 20/min, Oxygen saturation 96% on room air. Provider Prescription: Sulfamethoxazole and trimethoprim 8 mg TMP/kg/day PO, Salicylic acid 20 mg/kg/dose every 4 hr as needed for pain and fever.
Question 1 of 5
For each of the flowing findings, click to specify if the finding is consistent with acute laryngotracheobronchitis or pneumonia.
| Finding | Acute Laryngotracheobronchitis | Pneumonia. |
|---|---|---|
| Irritability | ||
| Cough findings at 0800 | ||
| Stridor | ||
| Temperature |
Correct Answer: A,B,C,D
Rationale: A: Irritability is consistent with both due to discomfort. B: Barking cough is characteristic of laryngotracheobronchitis (croup), though pneumonia may have a productive cough. C: Stridor is a hallmark of croup, not pneumonia. D: Fever is consistent with both conditions.
Extract:
Question 2 of 5
A nurse is providing teaching to the guardian of an 11-month-old infant who has acute diarrhea. Which of the following food items should the nurse instruct the parent to provide to the infant?
Correct Answer: A
Rationale: Oral electrolyte solutions are essential for rehydration during acute diarrhea, replacing lost fluids and electrolytes.
Question 3 of 5
A nurse is caring for a toddler who has impetigo. Which of the following actions by the nurse indicates an understanding of how impetigo is spread?
Correct Answer: B
Rationale: Wearing gloves prevents the spread of impetigo, which is highly contagious through direct contact.
Question 4 of 5
A nurse is providing instructions about a 24-hr urine collection to an adolescent client. Which of the following should the nurse include in the teaching?
Correct Answer: C
Rationale: Discarding the first voided specimen ensures the urine collection represents the entire 24-hour period.
Question 5 of 5
A nurse is caring for a newly admitted child who has cystic fibrosis. For which of the following members of the interprofessional team should the nurse initiate a referral?
Correct Answer: C
Rationale: A dietitian is crucial for managing the nutritional needs of a child with cystic fibrosis, who require a high-calorie diet due to malabsorption.