ATI RN
ATI RN Pediatric Assessment 2022 Questions
Extract:
A child diagnosed with rubeola (measles)
Question 1 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.
Extract:
A 6-year-old child experiencing itchy, red, and swollen eyes
Question 2 of 5
The parent of a 6-year-old child arrives at a clinic because the child has been experiencing itchy, red, and swollen eyes. The nurse notes a discharge from the eyes and sends a culture to the laboratory for analysis. Chlamydial conjunctivitis is diagnosed. On the basis of this diagnosis, the nurse determines that which requires further investigation?
Correct Answer: A
Rationale: Chlamydial conjunctivitis in a child may indicate sexual abuse, as Chlamydia trachomatis is typically transmitted via genital secretions. B, C, and D are less likely causes.
Extract:
An infant with heart failure
Question 3 of 5
A pediatrician has prescribed oxygen as needed for an infant with heart failure. Which situation would likely increase the oxygen demand, requiring the nurse to administer oxygen to the infant?
Correct Answer: D
Rationale: Blood drawing causes stress, increasing oxygen demand in heart failure. A, B, and C are less likely to significantly increase demand.
Extract:
A preschooler with a history of cleft palate repair
Question 4 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 who weighs 28 lb
Question 5 of 5
A nurse is preparing to administer acetaminophen 10 mg/kg/dose to a child who weighs 28 lb. The amount available is acetaminophen 120 mg/5 mL. How many mL should the nurse administer?
Correct Answer: 5.3 mL
Rationale: Child's weight: 28 lb ÷ 2.2 = 12.73 kg. Dose: 12.73 kg × 10 mg/kg = 127.3 mg. Volume: 127.3 mg ÷ (120 mg/5 mL) = 5.3 mL.