Pediatric ATI Practice Exam

When caring for a child with cystic fibrosis, which assessment finding should be reported immediately?

1. Inability to clear secretions

2. Weight loss

3. Lack of appetite

4. Frequent coughing

The correct answer is: Inability to clear secretions

In the context of cystic fibrosis, the ability to clear secretions is crucial for maintaining respiratory health. Children with this condition often produce thick, sticky mucus that can obstruct airways and lead to serious complications such as infection, respiratory distress, or lung damage. If a child demonstrates an inability to clear secretions, it suggests a significant risk that could result in acute respiratory issues. In such cases, prompt intervention is necessary to prevent further deterioration of the child's respiratory function. Reporting this finding immediately allows healthcare providers to take action, which might include administering therapies that help loosen mucus or utilizing suctioning techniques. While weight loss, lack of appetite, and frequent coughing are all important considerations in the management of cystic fibrosis, they often indicate chronic issues rather than an immediate, life-threatening concern. While they warrant attention and may impact the child's overall health, the inability to clear secretions represents an acute situation that requires urgent evaluation and intervention.