ATI RN
ATI RN Pediatric Nursing 2023 Questions
Extract:
A nurse is assessing a 6-month-old infant who has respiratory syncytial virus.
Question 1 of 5
The nurse should immediately report which of the following findings to the provider?
Correct Answer: D
Rationale: D. Tachypnea (rapid breathing) in an infant with RSV is a concerning sign that may indicate respiratory distress and requires immediate reporting to the provider to prevent worsening respiratory failure. A. Rhinorrhea (runny nose) is a common symptom of RSV and not immediately alarming unless accompanied by other severe symptoms. B. Pharyngitis (sore throat) is less specific in infants with RSV and not typically a priority for reporting. C. Coughing is expected with RSV and does not warrant immediate reporting unless it severely impacts breathing.
Extract:
A nurse is planning to administer diphenhydramine 1.25 mg/kg IV to a school-age child who weighs 55 lb. Available is diphenhydramine 50 mg/mL.
Question 2 of 5
How many ml should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 0.6
Rationale: First, convert the child's weight from pounds to kilograms: 55 ÷ 2.2 = 25 kg. Next, calculate the dose: 1.25 mg/kg × 25 kg = 31.25 mg.
Then, determine the volume: 31.25 mg ÷ 50 mg/mL = 0.625 mL. Round to the nearest tenth: 0.625 rounds to 0.6 mL.
Extract:
A school nurse is assessing a 7-year-old student.
Question 3 of 5
The nurse should identify which of the following findings as a potential indicator of physical abuse?
Correct Answer: C
Rationale: C. Bruising around the wrists can be a sign of physical abuse, especially if it appears in patterns consistent with being restrained. A. Missing teeth are common in childhood. B. 45th percentile weight is normal. D. Knee abrasions are typical in active children.
Extract:
A nurse is performing a cranial nerve assessment on a school-age child.
Question 4 of 5
Which of the following findings indicates proper functioning of the child's trigeminal nerve?
Correct Answer: D
Rationale: D. The trigeminal nerve (cranial nerve V) innervates the muscles of mastication, and symmetrical jaw strength when biting down indicates proper functioning of this nerve. A. Balance relates to cranial nerve VIII. B. Gag reflex involves cranial nerve IX. C. Scents relate to cranial nerve I.
Extract:
A nurse is caring for an adolescent who has major depressive disorder.
Question 5 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: A. Assessing the risk of self-harm or suicide is the top priority when caring for a patient with major depressive disorder. B, C, D. These follow safety assessment.