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: 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 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 3-month-old infant diagnosed with RSV bronchiolitis, tachypneic, rubbing eyes, appears sleepy, becomes more short of breath and irritable when laid flat.
Question 3 of 5
A nurse is providing care for a 3-month-old infant diagnosed with RSV bronchiolitis. The infant is tachypneic, rubbing his eyes, and appears sleepy. The mother places the infant flat, but the baby becomes more short of breath and irritable. Which of the following is the best advice for the nurse to give?
Correct Answer: D
Rationale: A 30-degree angle reduces work of breathing in RSV bronchiolitis, improving comfort and alleviating shortness of breath in a tachypneic infant.
Extract:
An infant admitted with dehydration.
Question 4 of 5
The nurse is reviewing the intake and output record from the previous 8 hours for an infant admitted with dehydration. The nurse also reviews the most recent lab results in the chart. Based on the information in the chart, what does the nurse determine about this patient during the shift?
Correct Answer: A
Rationale: Without specific improvement data, the infant's admission for dehydration suggests ongoing dehydration based on intake/output and lab results.
Extract:
A patient with a stained, ragged baby blanket.
Question 5 of 5
A patient arrives at the hospital with a stained, ragged baby blanket. When his mother tries to remove the blanket to take it home for washing, he hides under the bed and clings to the blanket. What is the best course of action for the nurse?
Correct Answer: B
Rationale: Allowing the child to keep the comforting blanket respects their emotional needs, avoiding distress and maintaining trust.