ATI RN
ATI Nur307 Pediatrics Nursing Exam Questions
Extract:
A nurse is caring for a child who is admitted with suspected acute appendicitis.
Question 1 of 5
Which of the following manifestations should indicate to the nurse that the child's appendix is perforated?
Correct Answer: A
Rationale: The correct answer is A: Sudden decrease in abdominal pain. A perforated appendix can lead to a sudden decrease in pain due to leakage of infectious material into the peritoneal cavity, causing irritation of the diaphragm. This sudden relief is known as a "classic sign" of a perforated appendix. Low-grade fever (
B) and absent Rovsing's sign (
C) are not specific indicators of a perforated appendix. Rovsing's sign is elicited by palpating the left lower quadrant, causing pain in the right lower quadrant. A flaccid abdomen (
D) is not typically associated with a perforated appendix, which usually presents with rebound tenderness and guarding.
Extract:
A parent tells a nurse that her toddler drinks 32 oz of milk a day and has a poor appetite for solid foods.
Question 2 of 5
The nurse should explain that the toddler is at risk for which of the following disorders?
Correct Answer: C
Rationale: The correct answer is C: Iron deficiency anemia.
Toddlers are at risk due to their rapid growth and inadequate intake of iron-rich foods. Iron is essential for red blood cell production. Anemia can lead to developmental delays and fatigue.
Choice A, diabetes mellitus, is less common in toddlers.
Choice B, obesity, is more related to excessive calorie intake.
Choice D, rickets, is caused by vitamin D deficiency, not iron deficiency.
Extract:
A nurse is caring for a child who has acute gastroenteritis but is able to tolerate oral fluids.
Question 3 of 5
The nurse should anticipate providing which of the following types of fluid?
Correct Answer: C
Rationale: The correct answer is C: Oral rehydration solution. This choice is correct because oral rehydration solution contains a specific balance of electrolytes that help to restore hydration and electrolyte balance in patients who are dehydrated. It is specifically formulated to aid in rehydration and is recommended by healthcare professionals for this purpose.
Water (
A) is not as effective as oral rehydration solution in restoring electrolyte balance. Broth (
B) may not contain the necessary electrolytes for rehydration. Diluted apple juice (
D) may not have the proper electrolyte balance needed for rehydration.
Extract:
A nurse is providing teaching to the parent of an infant about introducing solid foods.
Question 4 of 5
The nurse should recommend that which of the following foods be introduced first?
Correct Answer: D
Rationale: The correct answer is D: Iron-fortified cereal. Iron-fortified cereal is often recommended as a first food for infants due to its high nutritional value, particularly iron content essential for growth and development. It is easily digestible and less likely to cause allergies compared to the other options. Cooked egg whites (
A) can be allergenic. Pureed meats (
B) may be harder to digest initially. Strained fruits (
C) are high in natural sugars and may not provide sufficient nutrients. Iron-fortified cereal is a good choice for introducing solids gradually and meeting an infant's nutritional needs.
Extract:
A nurse is providing teaching to a parent of a child who has celiac disease.
Question 5 of 5
The nurse should include which of the following food choices for this child?
Correct Answer: C
Rationale: The correct answer is C: Rice. Rice is a safe and easily digestible food choice for children, especially those with dietary restrictions or sensitivities. Wheat (
A), barley (
B), and rye (
D) contain gluten, which some children may be intolerant to.
Therefore, they are not ideal choices. Rice is a versatile grain that is gentle on the digestive system and provides essential nutrients for child development.