ATI RN
ATI Pediatrics Exam NURS 243 Spring 2014 Questions
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 1 of 5
Which child requires urgent emergency medical intervention?
Correct Answer: A
Rationale: The correct answer is A. The 6-month-old with high fever, dysphagia, stridor, and muffled cry likely has epiglottitis, a life-threatening condition requiring immediate intervention to maintain the airway. Dysphagia and stridor indicate airway compromise, while muffled cry suggests impending respiratory failure. Urgent medical attention is necessary to prevent respiratory arrest.
Choice B is incorrect as purulent secretions suggest a bacterial infection but do not immediately threaten the airway.
Choice C is incorrect as barky cough and mild retractions are indicative of croup, which is usually self-limiting and does not require immediate intervention.
Choice D is incorrect as moderate respiratory distress and barky cough suggest a viral croup or bronchiolitis, which typically do not require urgent intervention unless severe respiratory distress occurs.
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Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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