ATI RN
ATI Pediatrics Exam NURS 243 Spring 2014 Questions
Extract:
A 7-year-old child with burns covering the entire head and both legs.
Question 1 of 5
The nurse is caring for a 7-year-old child with burns covering the entire head and both legs. Using the provided chart, what is the calculated percentage of total body surface area involved?
Correct Answer: 69
Rationale: Using the rule of nines for a 7-year-old, the head (17%) and both legs (52%) total 69% of body surface area burned.
Extract:
A patient with a stained, ragged baby blanket.
Question 2 of 5
A patient arrives at the hospital with a stained, ragged baby blanket. When his mother tries to remove the blanket to take it home for washing, he hides under the bed and clings to the blanket. What is the best course of action for the nurse?
Correct Answer: B
Rationale: Allowing the child to keep the comforting blanket respects their emotional needs, avoiding distress and maintaining trust.
Extract:
A 4-year-old hospitalized child.
Question 3 of 5
The nurse recognizes that a 4-year-old hospitalized child is exhibiting which characteristic of cognitive development, when the child tells the nurse it's sad to be at home alone?
Correct Answer: B
Rationale: Magical thinking, typical in the preoperational stage, is reflected in the child's belief that their sadness about being alone could influence their situation.
Extract:
A 6-month-old with high fever, dysphagia, stridor, and a muffled cry; a 13-year-old with high fever, stridor, and purulent secretions; a 2-year-old with a barky cough, afebrile, and mild intercostal retractions; a 5-year-old with abrupt onset of moderate respiratory distress, mild fever, and a barky cough.
Question 4 of 5
Which child requires urgent emergency medical intervention?
Correct Answer: A
Rationale: A 6-month-old with high fever, dysphagia, stridor, and muffled cry suggests epiglottitis, a life-threatening condition requiring immediate intervention.
Extract:
A 6-year-old who just had a tonsillectomy.
Question 5 of 5
What instructions should the nurse include in the post-operative discharge instructions for a 6-year-old who just had a tonsillectomy?
Correct Answer: A,B,C
Rationale: Pain management prevents dehydration, reporting ear pain/bad breath monitors complications, and soft foods support healing; scabs need monitoring for early dislodgement.