ATI RN
ATI RN Pediatric Assessment 2022 Questions
Extract:
A child with erythema infectiosum (fifth disease)
Question 1 of 5
On assessment, the school nurse notes that the child has a rash. The nurse suspects that the child has erythema infectiosum (fifth disease), because the skin assessment revealed a rash that has which characteristics?
Correct Answer: C
Rationale: Fifth disease is characterized by a 'slapped face' rash on the cheeks, followed by a trunk rash. A, B, and D are less specific.
Extract:
A child with mumps who has been lethargic and vomiting
Question 2 of 5
The parent of a child with mumps calls the health care clinic to tell the nurse that the child has been lethargic and vomiting. What instruction would the nurse give to the parent?
Correct Answer: C
Rationale: Lethargy and vomiting are not typical mumps symptoms and may indicate complications. Immediate evaluation by a pediatrician is necessary. A, B, and D delay critical care.
Extract:
A preschooler with a history of cleft palate repair
Question 3 of 5
A preschooler with a history of cleft palate repair comes to the clinic for a routine well-child checkup. To determine whether this child is experiencing a long-term effect of cleft palate, which question would the nurse ask the parent?
Correct Answer: A
Rationale: Difficulty swallowing is a potential long-term effect of cleft palate repair. B, C, and D are unrelated to cleft palate outcomes.
Extract:
A child with suspected epiglottitis
Question 4 of 5
A child arrives in the emergency department with a high fever, drooling, muffled voice, inspiratory stridor, and sternal retractions. The nurse suspects epiglottitis. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Epiglottitis is often bacterial, requiring droplet precautions to prevent spread. A, B, and C are secondary to infection control.
Extract:
A child diagnosed with rubeola (measles)
Question 5 of 5
The nurse caring for a child diagnosed with rubeola (measles) notes that the pediatrician has documented the presence of Koplik's spots. On the basis of this documentation, which observation is expected?
Correct Answer: B
Rationale: Koplik's spots are small blue-white spots with a red base on the buccal mucosa, a hallmark of measles. A, C, and D describe unrelated findings.