ATI RN
ATI Nsg 234 Pediatrics Exam Questions
Extract:
A nurse is caring for an 11-year-old client who is experiencing an acute asthma attack.
Question 1 of 5
Which of the following medications should the nurse expect to administer first?
Correct Answer: B
Rationale: The correct answer is B: Albuterol. Albuterol is a short-acting beta-agonist bronchodilator used for acute bronchospasm, making it the priority to administer first in a patient experiencing respiratory distress. It acts quickly to dilate the airways and improve airflow, providing immediate relief. Budesonide (
A) and Fluticasone (
C) are inhaled corticosteroids used for long-term control and prevention of asthma symptoms, not for immediate relief. Montelukast (
D) is a leukotriene receptor antagonist used for chronic asthma management, also not for acute exacerbations. In summary, Albuterol is the most appropriate choice for immediate relief of bronchospasm in an emergency situation.
Extract:
A nurse is providing education about feedings to the parents of a newborn with a cleft lip and palate.
Question 2 of 5
The education includes the use of a specialized bottle/nurser, offering frequent short feedings, and burping more frequently. What other education should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Position the infant in an upright position during feedings. This is important to prevent choking and aspiration during feeding. Placing the infant in an upright position helps facilitate proper swallowing and digestion. Thickening formula with cereal (choice
A) is not recommended as it can increase the risk of choking. Having the infant lay back (choice
B) can also lead to aspiration. Using a nasogastric tube (choice
D) is an extreme measure and not indicated in this scenario.
Extract:
A nurse is providing education to an adolescent client about healthy eating habits.
Question 3 of 5
Which statement by the nurse demonstrates an appropriate approach to the teaching plan for the adolescent?
Correct Answer: A
Rationale:
Correct
Answer: A
Rationale: Option A is correct because it emphasizes the importance of a balanced diet including fruits, vegetables, whole grains, and lean proteins for overall health. This approach aligns with the nutritional needs of adolescents for growth and development. It promotes sustainable healthy eating habits rather than restrictive fad diets.
Summary:
B: Fad diets are not sustainable and can lead to nutrient deficiencies and health issues in the long term.
C: Fast food is often high in unhealthy fats, sugars, and calories, and should not be considered a nutritious option for daily consumption.
D: Skipping meals can disrupt metabolism, lead to nutrient deficiencies, and is not a healthy or effective way to lose weight or stay in shape.
Extract:
A nurse is caring for an infant who has inadequate motility of a portion of the intestine, resulting in a mechanical obstruction.
Question 4 of 5
The nurse should identify this finding as a manifestation of which of the following disorders?
Correct Answer: B
Rationale: The correct answer is B: Hirschsprung's disease. This disorder is characterized by the absence of ganglion cells in the distal colon, leading to functional obstruction. The finding mentioned in the question is likely chronic constipation, a common symptom in Hirschsprung's disease due to the lack of peristalsis in the affected segment. Pyloric stenosis (
A) presents with projectile vomiting, not chronic constipation. Enterocolitis (
C) is associated with diarrhea and abdominal pain. Intussusception (
D) typically presents with colicky abdominal pain and a sausage-shaped mass on palpation.
Therefore, Hirschsprung's disease is the most likely diagnosis based on the manifestation described.
Extract:
A nurse is planning care for a 4-year-old child who requires airborne precautions.
Question 5 of 5
Which of the following activities should the nurse plan for the child?
Correct Answer: C
Rationale:
Rationale:
Choice C is correct because restricting visitors and staff to those immune to the infectious agent reduces the risk of spreading the infection to the child. Educating parents on hand hygiene (
Choice
A) is important but doesn't directly protect the child. Making the child wear a mask (
Choice
B) may not be necessary unless in specific situations. Administering antibiotics preventively (
Choice
D) is inappropriate and contributes to antibiotic resistance.