ATI RN
ATI Pediatrics Exam NURS 243 Spring 2014 Questions
Extract:
A 12-month-old with a weak cry, pale complexion, decreased breath sounds, retractions, and an oxygen saturation of 93%; a 5-year-old speaking in full sentences, pink complexion, bilateral wheezing, and an oxygen saturation of 93%; a 16-year-old speaking in short phrases, wheezing, sitting upright, and an oxygen saturation of 93%; a 9-year-old who is quiet, pale, sitting on his father's lap, bilateral wheezing, and an oxygen saturation of 93%.
Question 1 of 5
In the Emergency Department, four children are awaiting treatment for respiratory illnesses. Given that only one treatment room is available, which child should be prioritized based on the assessment findings?
Correct Answer: A
Rationale: The 12-month-old's weak cry, pallor, decreased breath sounds, and retractions indicate severe respiratory distress, requiring priority treatment.
Extract:
A 3-month-old infant diagnosed with RSV bronchiolitis, tachypneic, rubbing eyes, appears sleepy, becomes more short of breath and irritable when laid flat.
Question 2 of 5
A nurse is providing care for a 3-month-old infant diagnosed with RSV bronchiolitis. The infant is tachypneic, rubbing his eyes, and appears sleepy. The mother places the infant flat, but the baby becomes more short of breath and irritable. Which of the following is the best advice for the nurse to give?
Correct Answer: D
Rationale: A 30-degree angle reduces work of breathing in RSV bronchiolitis, improving comfort and alleviating shortness of breath in a tachypneic infant.
Extract:
A 7-year-old recently diagnosed with cystic fibrosis.
Question 3 of 5
The parents of a 7-year-old recently diagnosed with cystic fibrosis have received discharge instructions for chest physiotherapy (CPT), use of a flutter valve, and a cough assist machine. Which of the following statements by the parents indicates understanding of the discharge instructions?
Correct Answer: C
Rationale: These therapies loosen lung secretions for better expectoration, improving respiratory function in cystic fibrosis, not affecting GI mucus or only used during illness.
Extract:
A school-aged child with cystic fibrosis prescribed vest therapy.
Question 4 of 5
A nurse is reviewing the care plan with a school-aged child who has cystic fibrosis and a prescription to receive vest therapy to mobilize respiratory secretions. Which of the following statements by the child indicates an understanding of the plan?
Correct Answer: D
Rationale: Administering albuterol, a bronchodilator, prior to vest therapy opens airways, enhancing the effectiveness of secretion mobilization in cystic fibrosis.
Extract:
An infant with a history of recurrent respiratory infections.
Question 5 of 5
The mother of an infant who has been treated for recurrent respiratory infections asks the nurse why infants are at increased risk for respiratory infections. Which of the following is the best response by the nurse?
Correct Answer: C
Rationale: Infants' narrow airways obstruct easily, trapping organisms, which increases the risk of respiratory infections.