ATI RN
ATI Pediatrics Exam NURS 243 Spring 2014 Questions
Extract:
A 7-year-old recently diagnosed with cystic fibrosis.
Question 1 of 5
The parents of a 7-year-old recently diagnosed with cystic fibrosis have received discharge instructions for chest physiotherapy (CPT), use of a flutter valve, and a cough assist machine. Which of the following statements made by the parents indicates an understanding of the discharge instructions?
Correct Answer: C
Rationale: These therapies clear lung mucus to enhance breathing, not reduce infection resistance, are used daily, and do not target GI mucus.
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 2 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.
Extract:
A child admitted to the hospital.
Question 3 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:
An infant with Hirschsprung's disease post-laparoscopically assisted endorectal pull-through procedure.
Question 4 of 5
The nurse is caring for an infant with Hirschsprung's disease who just returned from surgery for a laparoscopically assisted endorectal pull-through procedure. The nurse must monitor which of the following orders?
Correct Answer: A
Rationale: NPO until bowel sounds return prevents vomiting and aspiration, indicating gastrointestinal recovery post-surgery for Hirschsprung's disease.
Extract:
A toddler having a temper tantrum.
Question 5 of 5
The nurse is providing parents with suggestions about the appropriate actions to take when their toddler is having a temper tantrum. Which statement by the parents indicates an understanding?
Correct Answer: B
Rationale: Ignoring the tantrum unless there's physical danger avoids reinforcing the behavior, promoting self-regulation once the child calms down.