ATI RN
ATI N400 Pediatrics Exam 2 Questions
Extract:
A child with acute glomerulonephritis.
Question 1 of 5
Which of the following actions is the nurse's priority?
Correct Answer: D
Rationale: The correct answer is D: Check the child's daily weight. This is the priority because weight changes can indicate fluid retention or loss, which is crucial in managing the child's health. Monitoring weight helps assess the effectiveness of treatment and identify any worsening conditions promptly. Placing the child on a no-salt-added diet (
A) may be important but is not the priority over monitoring weight. Educating parents about potential complications (
B) is valuable but not as immediate as monitoring weight. Maintaining a saline-lock for possible medications (
C) is important but not the priority over daily weight checks.
Extract:
A 2-year-old toddler diagnosed with lead poisoning.
Question 2 of 5
What is an important precaution the caregiver should take to prevent further exposure to lead?
Correct Answer: A
Rationale: The correct answer is A: Keep the child away from areas with ongoing construction or renovation. This is important because construction sites often have lead dust, which can be harmful if ingested or inhaled. By keeping the child away from such areas, the risk of lead exposure is reduced.
Choice B is incorrect because allowing the child to play with toys that may contain lead paint increases the risk of exposure.
Choice C is also incorrect as playing outside in areas with visible peeling paint can expose the child to lead.
Choice D, ensuring the child has a diet rich in iron and calcium, is unrelated to preventing further lead exposure. It is essential to focus on avoiding environments with potential lead hazards to protect the child's health.
Extract:
Four children: A 4-year-old with asthma, a 7-year-old with diabetes insipidus, a 1-year-old toddler, a 10-year-old with sickle cell anemia.
Question 3 of 5
Which of the following children should the nurse assess first? (Select All that Apply.)
Correct Answer: C,D
Rationale: The nurse should assess the 1-year-old toddler with a temperature of 39°C (102.2°F) first because fever in young children can indicate a serious underlying infection. Next, the nurse should assess the 10-year-old child with Sickle cell anemia reporting severe chest pain, as this could be a symptom of a vaso-occlusive crisis which requires immediate intervention.
Incorrect choices:
A: PCO2 of 37 mm Hg in a 4-year-old with asthma may indicate respiratory distress but is not immediately life-threatening.
B: Urine specific gravity of 1.016 in a 7-year-old with diabetes insipidus is concerning but not as urgent as fever or severe chest pain.
Summary: The correct answers prioritize assessment based on the urgency of the conditions presented, with fever in a young child and severe chest pain taking precedence.
Extract:
A child undergoing a tonsillectomy.
Question 4 of 5
When providing teaching to parents of a child undergoing a tonsillectomy, which of the following statements indicates an understanding of the teaching? I will :
Correct Answer: C
Rationale: The correct answer is C: monitor my child for signs of bleeding such as frequent swallowing or vomiting blood. This statement indicates understanding because post-tonsillectomy bleeding is a potential complication that requires immediate medical attention. Frequent swallowing or vomiting blood are key signs of bleeding and prompt intervention is crucial.
Choice A is incorrect as resuming normal activities immediately can increase the risk of bleeding.
Choice B is incorrect as aspirin should be avoided due to its blood-thinning effects.
Choice D is incorrect as hard, crunchy foods can irritate the surgical site.
Extract:
A child who ingested kerosene.
Question 5 of 5
Which of the following assessments is the nurse's priority?
Correct Answer: A
Rationale: The correct answer is A: Respiratory Rate. Assessing the respiratory rate is the priority because airway and breathing are essential for survival. If there are issues with breathing, it can quickly lead to a life-threatening situation. Monitoring the respiratory rate helps in detecting any breathing difficulties early on. Bowel sounds, burns of the mouth, and visual acuity are important assessments but do not take precedence over respiratory rate in terms of immediate threat to life. Bowel sounds indicate gastrointestinal function, burns of the mouth may affect eating and swallowing, and visual acuity is important for vision, but they are not as critical as ensuring the patient can breathe effectively.