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RN ATI Pediatric Nursing Exam Latest Review
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RN ATI Pediatric Nursing Exam Latest Review(70 Questions with Verified Answers 100%)
Question: 1 of 70
A nurse is caring for a school-age child who has cystic fibrosis.
Exhibit 1
Exhibit 2
Exhibit 3
History and Physical
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
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.
Meperidine
Dornase alfa
Acetaminophen
Water-soluble vitamins
Pancreatic lipase
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)
Answer: Dornase alfa, Water-soluble vitamins, Pancreatic lipase
Explanation: Dornase alfa is used to decrease the viscosity of mucus in cystic fibrosis patients.
Water-soluble vitamins are necessary due to malabsorption in cystic fibrosis, and pancreatic
lipase is crucial for the digestion of nutrients, especially fats. Meperidine is not appropriate as it
may increase the risk of seizures in patients with cystic fibrosis, and acetaminophen is not
specifically indicated for managing cystic fibrosis symptoms.
Question: 2 of 70
A nurse is caring for a 7-year-old child who has a urinary tract infection (UTI).
Exhibit 1
Exhibit 2
Exhibit 3
Nurses' Notes
0700:
7-year-old client who weighs 18.1 kg (39.9 lb) admitted with a UTI. Child reports pain and
burning upon urination and feeling like they need to go to the bathroom all the time. Child’s
guardian reports the client has been incontinent of urine the past 2 nights and that the urine has a
very strong odor.
Vital Signs
0715:
,Temperature 38.4° C (100.4° F)
Heart rate 80/min
Respiratory rate 22/min
Blood pressure 106/65 mm Hg
0930:
Temperature 38.4° C (101.1° F)
Heart rate 90/min
Respiratory rate 23/min
Blood pressure 105/65 mm Hg
Provider Prescriptions
Sulfamethoxazole and trimethoprim 8 mg TMP/kg/day PO
Salicylic acid 20 mg/kg/dose every 4 hr as needed for pain and fever
The nurse is planning care for the client. For each of the following interventions, click to specify
if the potential intervention is anticipated or contraindicated for the client.
Potential Order Anticipated Contraindicated
Educate the child about proper perineal hygiene. O O
Administer sulfamethoxazole and trimethoprim. O O
Administer salicylic acid for pain and fever. O O
Ensure the child receives a maximum of 1,200 mL/day of fluid. O O
Advise child’s guardian about the use of sunscreen. O O
Answer:
Educate the child about proper perineal hygiene - Anticipated
Administer sulfamethoxazole and trimethoprim - Anticipated
Administer salicylic acid for pain and fever - Anticipated
Ensure the child receives a maximum of 1,200 mL/day of fluid - Contraindicated
Advise child’s guardian about the use of sunscreen - Contraindicated
Explanation: Proper hygiene and the administration of antibiotics (sulfamethoxazole and
trimethoprim) are essential for treating UTIs. Salicylic acid can be administered for pain and
fever. However, limiting fluid intake to 1,200 mL/day is contraindicated as adequate hydration is
crucial for treating UTIs. Advising on sunscreen use is unrelated to the current condition.
, !
"
Question: 3 of 70
A nurse is caring for a 3-year-old child.
Exhibit 1
Exhibit 2
Nurses' Notes
0730:
Child presents to the emergency department (ED). Guardians report the child woke up coughing
with a low-grade fever. Child appears alert and restless in guardian's arms. Respirations easy, no
cough noted.
0800:
Child became agitated. Hoarse cry noted with audible inspiratory stridor. Barking, non-
productive cough present.
For each of the following findings, click to specify if the finding is consistent with acute
laryngotracheobronchitis or pneumonia. Each finding may support more than one disease
process.
Assessment Findings Acute laryngotracheobronchitis Pneumonia
Irritability O O
Cough findings at 0800 O O
Stridor O O
Temperature O O
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