Review Ati paediatrics quiz

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Ati paediatrics quiz

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Total Questions : 21

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Question 1:

A nurse is caring for a toddler who has acute laryngotracheobronchitis and has been placed in a cool mist tent. Which of the following finding indicates that the treatment has been effective?

A. Barking cough B. Decreased stridor C. Improved hydration D. Decreased temperature

Answer and Explanation

Choice A:

A barking cough is a symptom of acute laryngotracheobronchitis and does not indicate treatment effectiveness.

Choice B:

Decreased stridor suggests improved airway patency, indicating the effectiveness of the cool mist tent therapy.

Choice C:

Improved hydration is important but is not a direct indicator of the effectiveness of the cool mist tent.

Choice D:

Decreased temperature may indicate resolution of fever but does not directly reflect the effectiveness of the cool mist tent therapy

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Question 2:

A nurse is caring for an 8-year-old child who has acute rheumatic fever. Which of the following assessments is the nurse's priority immediately after admission?

A. Identifying the degree of parental anxiety related to the diagnosis B. Using a pain-rating tool to determine the severity of the joint pain C. Assessing the client's erythematous rash D. Auscultating the rate and characteristics of the child's heart sounds

Answer and Explanation

Choice A:

Assessing parental anxiety is important but not the priority immediately after admission.

Choice B:

Pain assessment is important but not the priority assessment in acute rheumatic fever.

Choice C:

Assessing the erythematous rash is relevant but not the priority compared to cardiac assessment.

Choice D:

Auscultating the rate and characteristics of the child's heart sounds is crucial for early detection of cardiac involvement, which is a priority in acute rheumatic fever.

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Question 3:

A nurse is caring for a 6-month-old infant. Which of the following findings should indicate to the nurse that the client is experiencing pain following a procedure?

A. Decreased heart rate B. Decreased respiratory rate C. Increased crying episodes D. Increased formula consumption

Answer and Explanation

Choice A:

Decreased heart rate can indicate relaxation or sleepiness, not necessarily pain.

Choice B:

Decreased respiratory rate might indicate relaxation or sleepiness, not necessarily pain.

Choice C:

Increased crying episodes are a common indicator of pain in infants.

Choice D:

Increased formula consumption may indicate hunger or normal feeding patterns, not necessarily pain.

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Question 4:

A nurse is planning care for a child who has suspected epiglottitis. Which of the following actions should the nurse take?

A. Obtain a throat culture. B. Place the child in an upright position. C. Visualize the epiglottis with a tongue depressor. D. Transport the child to radiology for a throat x-ray.

Answer and Explanation

Choice A:

Obtaining a throat culture may exacerbate airway obstruction and is not a priority.

Choice B:

Placing the child in an upright position helps facilitate breathing and is a priority intervention.

Choice C:

Visualizing the epiglottis with a tongue depressor can trigger laryngospasm and worsen airway obstruction.

Choice D:

Transporting the child for a throat x-ray can delay immediate interventions for airway management.

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Question 5:

A nurse is caring for a 12-month-old toddler who is hospitalized and confined to a room with contact precautions in place. Which of the following toys should the nurse recommend in order to meet the developmental needs of the client?

A. Large building blocks B. Hanging crib toys C. Crayons and a coloring book D. Modeling clay

Answer and Explanation

Choice A:

Large building blocks encourage fine and gross motor skills development, making them suitable for a hospitalized toddler.

Choice B:

Hanging crib toys are more appropriate for infants and may not meet the developmental needs of a 12-month-old toddler.

Choice C:

Crayons and a coloring book require fine motor skills and may not be suitable for a toddler in a hospital room with contact precautions.

Choice D:

Modeling clay may pose infection control risks in a hospital setting with contact precautions and may not be suitable for a hospitalized toddler.

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Question 6:

A nurse is taking vital signs on an infant diagnosed with bronchiolitis. Which of the following findings should the nurse immediately report to the provider?

A. Heart rate of 152 beats per minute B. Temperature of 99.5°F (37.5°C) C. Respiratory rate of 74 breaths per D. Blood pressure of 90/60 mmHg

Answer and Explanation

Choice A:

An elevated heart rate can be expected in infants with bronchiolitis due to increased work of breathing.

Choice B:

A slight elevation in temperature may be indicative of infection but is not an immediate concern.

Choice C:

A respiratory rate of 74 breaths per minute may indicate respiratory distress and warrants immediate attention.

Choice D:

A blood pressure of 90/60 mmHg is within the normal range for infants and not immediately concerning.

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Question 7:

Which of the following is not a risk factor of asthma in pediatric patients?

A. Family history of asthma B. Allergies C. Exposure to secondhand smoke D. Physical activity

Answer and Explanation

Choice A:

Family history of asthma is a well-established risk factor.

Choice B:

Allergies can contribute to asthma development or exacerbation.

Choice C:

Exposure to secondhand smoke is a known risk factor for asthma.

Choice D:

Physical activity is not a risk factor for asthma; in fact, regular physical activity can have protective effects against asthma.

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Question 8:

A nurse is admitting a toddler who has respiratory syncytial virus (RSV). Which of the following actions should the nurse take?

A. Keep thermometer in the toddler's room. B. Place the toddler in a room that has negative air pressure. C. Initiate airborne precautions. D. Allow the toddler to play in the common room.

Answer and Explanation

Choice A:

Keeping the thermometer in the toddler's room allows for easy access to monitor temperature fluctuations, which is important in managing RSV.

Choice B:

Negative air pressure rooms are not typically required for RSV.

Choice C:

RSV is primarily spread through droplets, so standard precautions are sufficient.

Choice D:

Allowing the toddler to play in the common room may expose other children to RSV.

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Question 9:

A nurse is caring for an infant who has a congenital heart defect. Which of the following defects is associated with increased pulmonary blood flow?

A. Tetralogy of Fallot B. Tricuspid atresia C. Patent ductus arteriosus D. Coarctation of the aorta

Answer and Explanation

Choice A:

Tetralogy of Fallot is characterized by decreased pulmonary blood flow.

Choice B:

Tricuspid atresia is characterized by decreased blood flow to the lungs.

Choice C:

Patent ductus arteriosus allows increased blood flow from the aorta to the pulmonary artery, leading to increased pulmonary blood flow.

Choice D:

Coarctation of the aorta involves narrowing of the aorta, leading to decreased systemic blood flow.

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Question 10:

A nurse is providing discharge instructions to the parent of a 10-year-old child following a cardiac catheterization. Which of the following instructions should the nurse include?

A. Offer the child clear liquids for the first 24 hr. B. Keep the child home for 1 week. C. Assist the child to take a tub bath for the first 3 days. D. Give the child acetaminophen for discomfort.

Answer and Explanation

Choice A:

Clear liquids are often recommended before procedures requiring sedation, not necessarily after cardiac catheterization.

Choice B:

Keeping the child home for a week may not be necessary depending on the child's recovery.

Choice C:

Tub baths may be allowed unless contraindicated by specific post-catheterization instructions.

Choice D:

Acetaminophen can be given for discomfort following cardiac catheterization, as directed by the healthcare provider.

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Total Questions : 21

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