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ATI RN PEDIATRIC NURSING 2023 ALIGNED WITH SCREENSHOTS
EXAM QUESTIONS AND ANSWERS 2026 REVISED VERSION
Ǫuestion 1: Report an Issue
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
,2
Clubbing of the fingers bilaterally
Respiratory rate 40/min with wheezing and rhonchi noted bilaterally, dyspnea, and paroxysmal
cough
Vital Signs
,3
Temperature 38.4° C (101.1° F) Heart rate 100/min Respiratory rate 40/min Blood
pressure 100/57 mm Hg
Exhibit 2
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)
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.
A. Water-soluble vitamins
B. Acetaminophen
C. Dornase alfa
D. Meperidine
E. Pancreatic lipase
Explanation
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.
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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.
F. 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.
Ǫuestion 2: Report an Issue A nurse is caring for an adolescent who is admitted with a vaso-
occlusive crisis.
Exhibit 1 Exhibit Exhibit 3
Exhibit 4
History and Physical
A 15-year-old adolescent is admitted for a vaso-occlusive crisis. The parent reports that the
adolescent has a low-grade fever and has vomited for 3 days. The adolescent reports having right-
sided and low back pain. They also report hands and right knee are painful and swollen. The client
reports pain as 8 on a scale of 0 to 10.
Vital Signs
Temperature 37.8° C (100° F) Heart rate 100/min
ATI RN PEDIATRIC NURSING 2023 ALIGNED WITH SCREENSHOTS
EXAM QUESTIONS AND ANSWERS 2026 REVISED VERSION
Ǫuestion 1: Report an Issue
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
,2
Clubbing of the fingers bilaterally
Respiratory rate 40/min with wheezing and rhonchi noted bilaterally, dyspnea, and paroxysmal
cough
Vital Signs
,3
Temperature 38.4° C (101.1° F) Heart rate 100/min Respiratory rate 40/min Blood
pressure 100/57 mm Hg
Exhibit 2
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)
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.
A. Water-soluble vitamins
B. Acetaminophen
C. Dornase alfa
D. Meperidine
E. Pancreatic lipase
Explanation
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.
, 4
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.
F. 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.
Ǫuestion 2: Report an Issue A nurse is caring for an adolescent who is admitted with a vaso-
occlusive crisis.
Exhibit 1 Exhibit Exhibit 3
Exhibit 4
History and Physical
A 15-year-old adolescent is admitted for a vaso-occlusive crisis. The parent reports that the
adolescent has a low-grade fever and has vomited for 3 days. The adolescent reports having right-
sided and low back pain. They also report hands and right knee are painful and swollen. The client
reports pain as 8 on a scale of 0 to 10.
Vital Signs
Temperature 37.8° C (100° F) Heart rate 100/min
