ATI RN
ATI Pediatrics Exam NURS 243 Spring 2014 Questions
Extract:
An infant admitted with dehydration.
Question 1 of 5
The nurse is reviewing the intake and output record from the previous 8 hours for an infant admitted with dehydration. Based on the information in the chart, what does the nurse determine about this patient during the 8-hour shift?
Correct Answer: A
Rationale: Given the admission for dehydration and lack of improvement data, the infant likely remains dehydrated based on intake/output records.
Extract:
An 18-month-old with high fever, coughs hard, and has a runny nose; a one-year-old with a slight fever, a rash, and green secretions.
Question 2 of 5
Which child requires urgent care?
Correct Answer: A
Rationale: High fever and hard coughing in an 18-month-old suggest a serious respiratory infection, requiring urgent care over a one-year-old's milder symptoms.
Extract:
An 18-month-old toddler.
Question 3 of 5
The nurse is educating the parents of an 18-month-old toddler about safety and injury prevention. Which action by the parents best demonstrates their understanding of the child's safety needs?
Correct Answer: A
Rationale: Supervising in fenced play areas ensures safety for an exploring toddler, unlike inappropriate street crossing, incorrect car seat use, or relying solely on water safety teaching.
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 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 5 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.