ATI RN
ATI RN Pediatric Assessment 2022 Questions
Extract:
A 6-year-old child experiencing itchy, red, and swollen eyes
Question 1 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:
A toddler
Question 2 of 5
A nurse is providing health promotion teaching to the parents of a toddler. Which of the following information should the nurse include in the teaching? (Select all that apply.)
Correct Answer: B,D,E
Rationale: B: Cooperative play fosters social development. D: Dental care promotes oral health. E: Establishing trust supports emotional growth. A is incorrect as balanced nutrition, not increased calories, is key. C is less critical for health promotion.
Extract:
A school-age child who has mild persistent asthma
Question 3 of 5
A nurse is caring for a school-age child who has mild persistent asthma. Which of the following is an expected finding? (Select all that apply.)
Correct Answer: B,C,E
Rationale: B: Daytime symptoms more than twice a week define mild persistent asthma. C: PEF ≥80% indicates good lung function. E: Minor activity limitations are expected. A indicates severe asthma, and D suggests intermittent asthma.
Extract:
A child with pertussis who is in the convalescent stage
Question 4 of 5
The nurse provides home care instructions to the parents of a child hospitalized with pertussis who is in the convalescent stage and is being prepared for discharge. Which statement by a parent indicates a need for further instruction?
Correct Answer: B
Rationale: In the convalescent stage, pertussis is less contagious, so strict droplet precautions for 2 weeks are unnecessary. A, C, and D are accurate care instructions.
Extract:
A child weighing 22 pounds trapped in a house fire and sustains a burn injury with 40% total body surface area (TBSA) affected
Question 5 of 5
A child weighing 22 pounds is trapped in a house fire and sustains a burn injury. The total body surface area (TBSA) affected by burns is found to be 40%. The Parkland formula for fluid resuscitation is used to calculate the amount of fluid the child requires. The nurse determines that the child will receive how many milliliters of fluid in the first 8 hours after the time of injury?
Correct Answer: 800 mL
Rationale: Parkland formula: 4 mL/kg/% TBSA. Weight: 22 lb ÷ 2.2 = 10 kg.
Total fluid: 40% × 10 kg × 4 mL/kg = 1600 mL over 24 hours. First 8 hours: 1600 mL ÷ 2 = 800 mL.