ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
Nurses' Notes 0730: 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.
Question 1 of 5
For each of the following findings, click to specify if the finding is consistent with acute laryngotracheobronchitis or pneumonia.
| Finding | acute laryngotracheobronchitis | pneumonia |
|---|---|---|
| Temperature | ||
| Cough findings at 0800 | ||
| Irritability | ||
| Stridor |
Correct Answer: A: Acute laryngotracheobronchitis and Pneumonia, (B: C: D:) Acute laryngotracheobronchitis
Rationale: Temperature: Both conditions can present with fever. Cough findings at 0800: A barking cough is classic for acute laryngotracheobronchitis (croup), not pneumonia. Irritability: Nonspecific symptom present in both due to discomfort. Stridor: Hallmark of croup due to upper airway inflammation, not typical in pneumonia.
Extract:
Adolescent client
Question 2 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 void starts the 24-hour period accurately. A. All urine goes in one container. B. Povidone-iodine isn't needed; hygiene suffices. D. Voiding as needed, not hourly, is correct.
Extract:
School-age child who weighs 20 kg (44 lb) postoperative with chest tubes
Question 3 of 5
A nurse is caring for a school-age child who weighs 20 kg (44 lb) and is postoperative with chest tubes in place. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: 200 mL/hr drainage is excessive, suggesting bleeding, requiring reporting. A. 22/min is normal. C. Serous drainage is expected. D. Fluctuation is normal.
Extract:
Group of clients on a pediatric unit
Question 4 of 5
A nurse is caring for a group of clients on a pediatric unit. Which of the following clients is most at risk for insufficient vascular perfusion?
Correct Answer: B
Rationale: A spica cast restricts movement, risking circulation impairment. A. IV fluids don't typically affect perfusion. C. UTI affects urinary, not vascular, system. D. Otitis media is unrelated.
Extract:
Child with impetigo contagiosa developed in the hospital
Question 5 of 5
A nurse is caring for a child who has impetigo contagiosa that developed in the hospital. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Contact precautions prevent impetigo spread. A. Amphotericin B is antifungal, not for bacteria. C. Impetigo isn't typically reportable. D. Lidocaine isn't treatment.