ATI RN
ATI RN Pediatrics 2023 Questions
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 1 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:
Question 2 of 5
A nurse is providing teaching about injury prevention to the parents of a toddler. Which of the following safety measures should the nurse include in the teaching?
Correct Answer: D
Rationale:
Correct Answer: D. Loose buttons are a choking hazard; checking them is key. A. Balloons pose a choking risk. B. 54°C is too hot; 49°C is safer. C. Screens don’t prevent falls; guards do.
Extract:
15-year-old adolescent admitted for a vaso-occlusive crisis. Parent reports low-grade fever and vomiting for 3 days. Adolescent reports right-sided and low back pain, painful swollen hands and right knee, pain 8/10. Vital Signs: Temperature 37.8° C (100° F), Heart rate 100/min, Blood pressure 110/72 mm Hg, Respiratory rate 20/min, Oxygen saturation 95%. Assessment: Yellow sclera, tender right upper quadrant, swollen painful hands and knee. Labs: Hct 28%, Hgb 6 g/dL, WBC 20,000/mm3, ALT 50 units/L, AST 62 units/L, Total bilirubin 3.0 mg/dL. Chest X-ray: cardiomegaly, systolic flow murmur
Question 3 of 5
The nurse is planning care for the adolescent. Select the 5 interventions the nurse should include.
Correct Answer: B,D,E,G
Rationale: B. Bed rest reduces oxygen demand. D. Vaccine prevents infection, critical in sickle cell. E. Folic acid aids anemia. G. Oxygen monitoring detects compromise. A. Cold worsens pain; use warmth. C. Hydroxyurea prevents, doesn't treat acute crisis. F. Meperidine is avoided; use morphine.
Extract:
Infant after surgical repair of a cleft palate
Question 4 of 5
A nurse is providing discharge teaching to the guardians of an infant who is being discharged after surgical repair of a cleft palate. Which of the following educational topics should the nurse include in the discharge teaching?
Correct Answer: B
Rationale:
Correct Answer: B. Antibiotic ointment prevents infection at the suture line. A. Elbow restraints aren’t typical. C. Straws risk suture disruption. D. Crusts aid healing but aren’t the key topic.
Extract:
15-year-old adolescent about a medication for STI
Question 5 of 5
A nurse is providing teaching to a 15-year-old adolescent about a medication used to treat a sexually transmitted infection. Which of the following actions should the nurse take?
Correct Answer: D
Rationale:
Correct Answer: D. Tailoring teaching to the adolescent’s learning style enhances effectiveness. A. Nurse should address questions directly. B. Privacy is key; parents shouldn’t be primary focus. C. Adolescent should receive info directly.