ATI RN
ATI Pediatrics Exam NURS 243 Spring 2014 Questions
Extract:
A 9-month-old child.
Question 1 of 5
The nurse is caring for a 9-month-old child. The nurse assesses the baby and finds all of the following data. Which finding is of MOST concern and leads the nurse to consider a possible referral to Early intervention for developmental delay?
Correct Answer: A
Rationale: Inability to use the pincer grasp at 9 months suggests a fine motor delay, warranting referral to early intervention for further evaluation.
Extract:
A child admitted to the hospital.
Question 2 of 5
A child is admitted to the hospital. Which of the following findings is of greatest concern?
Correct Answer: D
Rationale: The tripod position, diminished breath sounds, and grunting indicate severe respiratory distress, suggesting potential respiratory failure requiring immediate attention.
Extract:
A school-aged child receiving benzathine penicillin G IM.
Question 3 of 5
A nurse is preparing to administer benzathine penicillin G IM to a school-aged child. Which angle will the nurse use for injection into the child's vastus lateralis muscle?
Correct Answer: 90
Rationale: A 90-degree angle ensures the medication is delivered into the muscle for optimal absorption.
Extract:
A newborn suspected to have esophageal atresia.
Question 4 of 5
The nurse is caring for a newborn suspected to have esophageal atresia. Which of the following interventions must be the FIRST priority?
Correct Answer: D
Rationale: Elevating the head 30-35 degrees prevents aspiration of gastric contents due to potential tracheoesophageal fistula, a critical concern in esophageal atresia.
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 5 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.