ATI RN
ATI RN Pediatric Nursing 2023 Questions
Extract:
A nurse in an emergency department is caring for a toddler who has manifestations of epiglottitis.
Question 1 of 5
Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: D. Placing intubation equipment at the bedside is the first priority because epiglottitis can cause airway obstruction and respiratory distress. A, B, C. These are important but not the immediate priority compared to securing the airway.
Extract:
A nurse is providing teaching to the parent of a toddler who is scheduled for an electrocardiogram.
Question 2 of 5
Which of the following statements should the nurse make?
Correct Answer: A
Rationale: A. Allowing the child to sit on the parent's lap can provide comfort and support during the procedure. B. While the electrocardiogram (ECG) machine may have alarms, they are not typically related to abnormal heart rhythms during the procedure. C. ECG leads are typically placed on the chest, not the back. D. The duration of an ECG is relatively short, usually only a few minutes.
Extract:
A nurse in an emergency department is caring for a toddler who has manifestations of epiglottitis.
Question 3 of 5
Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: D. Placing intubation equipment at the bedside is the first priority because epiglottitis can cause airway obstruction and respiratory distress. A, B, C. These are important but not the immediate priority compared to securing the airway.
Extract:
A nurse is caring for a 5-year-old child who has nephrotic syndrome.
Question 4 of 5
Which of the following findings should indicate to the nurse that treatment has been effective?
Correct Answer: C
Rationale: C. Increased urine output indicates improved renal function, a primary goal of treatment for nephrotic syndrome. A. Odorless urine is not specific. B. Lack of pain with voiding is not a direct indicator. D. Normal temperature is not related to treatment success.
Extract:
School-age child admitted, diagnosed with cystic fibrosis at 3 months of age, has experienced failure to thrive, and has chronic obstructive pulmonary disease. The child presents with wheezing, rhonchi, paroxysmal cough, and dyspnea. The parent reports large, frothy, foul-smelling stools. The child has deficient levels of vitamin A, D, E, and K. Barrel-shaped chest, Clubbing of the fingers bilaterally, Respiratory rate 40/min with wheezing and rhonchi noted bilaterally, dyspnea, and paroxysmal cough. Vital Signs: Temperature 38.4° C (101.1° F), Heart rate 100/min, Respiratory rate 40/min, Blood pressure 100/57 mm Hg. Laboratory Results: Sputum culture positive for Pseudomonas aeruginosa, Stool analysis positive for presence of fat and enzymes, Chest x-ray indicates obstructive emphysema, WBC count 20,000/mm3 (5,000 to 10,000/mm3).
Question 5 of 5
A nurse is reviewing the child's medical record. Which of the following medications should the nurse expect the provider to prescribe or reconcile from the child's home medication list? Select all that apply.
Correct Answer: A,C,E
Rationale: A. Deficient levels of vitamins A, D, E, and K indicate malabsorption, necessitating supplementation with water-soluble vitamins to address nutritional deficiencies. B. Acetaminophen is an analgesic and antipyretic that has no effect on the underlying cause of cystic fibrosis. C. Dornase alfa (Pulmozyme) is a recombinant human deoxyribonuclease enzyme used in the management of cystic fibrosis to improve pulmonary function by reducing the viscosity of mucus in the airways. D. Meperidine is an opioid analgesic that can cause respiratory depression and increase the risk of pulmonary complications. E. Children with cystic fibrosis often have pancreatic insufficiency, leading to malabsorption of fats and fat-soluble vitamins. Pancreatic lipase supplements are necessary to aid in the digestion of fats.