ATI RN
ATI Pediatric Exam 3 Questions
Extract:
An adolescent who has scoliosis and requires surgical intervention
Question 1 of 5
A nurse is planning care for an adolescent who has scoliosis and requires surgical intervention. Which of the following behaviors by the adolescent should the nurse anticipate because it is the most common reaction?
Correct Answer: A
Rationale: The correct answer is A: Body image changes. Adolescents with scoliosis often experience body image concerns due to the visible spinal curvature. This is the most common reaction as it affects their self-esteem and perception of themselves.
Choice B, feelings of displacement, may occur but are not as common as body image changes.
Choice C, loss of privacy, and choice D, identity crisis, are less likely reactions compared to the impact on body image. In summary, body image changes are the primary concern for adolescents with scoliosis undergoing surgical intervention.
Extract:
A school-age child who has a new diagnosis of diabetes mellitus
Question 2 of 5
A nurse is providing teaching about self-administration of insulin to the parent of a school-age child who has a new diagnosis of diabetes mellitus. Which of the following statements by the parent indicates a need for further teaching?
Correct Answer: C
Rationale: The correct answer is C: "I will be sure my child aspirates before injecting the insulin." This statement indicates a need for further teaching because aspirating before injecting insulin is not necessary. Insulin injections are subcutaneous, not intramuscular, so aspirating is not required. Aspirating can cause unnecessary pain and tissue trauma. The other choices are correct: A: Insulin can be injected anywhere with adipose tissue for absorption, B: Rotating injection sites prevents lipodystrophy, D: Injecting at a 90-degree angle ensures proper delivery.
Extract:
A preschooler
Question 3 of 5
A nurse is providing nutritional teaching to the mother of a preschooler and is recommending food options to provide 1 oz of grains. Which of the following foods should the nurse recommend?
Correct Answer: C
Rationale: The correct answer is C: 1 cup ready-to-eat cereal flakes. One cup of ready-to-eat cereal typically provides around 1 oz of grains, making it the most suitable option for the preschooler.
Choice A (1 cup cooked rice) usually provides more than 1 oz of grains, exceeding the recommendation.
Choice B (1/2 slice of white bread) is less than 1 oz of grains.
Choice D (1/2 white flour tortilla) is also less than 1 oz of grains.
Therefore, choice C is the best option to meet the recommended 1 oz of grains for the preschooler.
Extract:
An infant who has a 2-day history of vomiting and an elevated temperature
Question 4 of 5
A nurse in an emergency department is caring for an infant who has a 2-day history of vomiting and an elevated temperature. Which of the following should the nurse recognize as the most reliable indicator of mild dehydration?
Correct Answer: D
Rationale: The correct answer is D: Body weight. Body weight is the most reliable indicator of mild dehydration in infants as it directly reflects changes in fluid status. Infants with mild dehydration typically exhibit weight loss due to decreased body water content. A decrease in body weight is a sensitive and specific indicator of dehydration.
A: Irregular respiratory rate is not a reliable indicator of mild dehydration and may be present in various conditions.
B: Good skin integrity does not directly indicate dehydration and can be maintained even in dehydrated individuals.
C: Blood pressure elevation is a sign of severe dehydration rather than mild dehydration.
In summary, body weight is the most accurate indicator of mild dehydration in infants compared to the other choices provided.
Extract:
A child who has a new diagnosis of diabetes mellitus
Question 5 of 5
A nurse is providing discharge teaching to the parents of a child who has a new diagnosis of diabetes mellitus. Which of the following statements by the parents indicates an understanding of the teaching?
Correct Answer: D
Rationale:
Correct
Answer: D. "My son might complain of feeling shaky when he has a low blood glucose level."
Rationale: Shaking or feeling shaky is a common symptom of hypoglycemia, which is low blood sugar in diabetes mellitus. This statement indicates an understanding of the signs and symptoms of low blood glucose levels. It shows that the parents are aware of the potential effects of hypoglycemia and can recognize when their child might be experiencing it.
Incorrect
Choices:
A: Incorrect. Nausea and vomiting are more commonly associated with hyperglycemia, not hypoglycemia.
B: Incorrect. Sweating is a common symptom of hypoglycemia, not hyperglycemia.
C: Incorrect. The onset of low blood glucose usually occurs rapidly, not slowly as stated.
E, F, G: Not applicable as they are not part of the question.