ATI RN
ATI Pediatrics Exam 2 Questions
Extract:
An 18-month-old toddler in the emergency department with a high axillary temperature of 39.5°C (103.1°F), high apical heart rate of 142/min, normal respiratory rate of 22/min, oxygen saturation of 98%, pulling at his ear.
Question 1 of 5
A nurse is caring for an 18-month-old toddler in the emergency department. The nurse reviews the toddler's medical record and assessment findings. Which of the following provider prescriptions should the nurse anticipate?
Correct Answer: C
Rationale: The correct answer is C: nebulized albuterol. This is because nebulized albuterol is commonly used to treat respiratory conditions such as asthma or bronchiolitis in young children. At 18 months old, toddlers are more prone to respiratory issues. Acetaminophen suppository (
A) may be used for fever management but is not specific to respiratory conditions. Oral rehydration solution (
B) is typically used for dehydration, which may not be the primary concern in this case. Intravenous antibiotics (
D) are not typically the first line of treatment for respiratory conditions in toddlers. The other choices are not relevant to treating respiratory conditions in this situation.
Extract:
An 18-month-old toddler in the emergency department with high fever, irritability, red eyes, dry lips, strawberry tongue, swollen hands and feet, rash, and enlarged lymph node.
Question 2 of 5
A nurse is caring for an 18-month-old toddler in the emergency department. The nurse reviews the toddler's medical record and assessment findings. Which of the following provider prescriptions should the nurse anticipate?
Correct Answer: A
Rationale: The correct answer is A: intravenous immunoglobulin. At 18 months, toddlers are susceptible to infections, and IV immunoglobulin can boost their immune system to fight off infections. This choice is appropriate for a toddler in the emergency department with potential serious infections. Oral acyclovir (
B) is used for herpes infections, which are less common in toddlers. Intramuscular penicillin (
C) is not typically used in emergency settings and may not be the appropriate treatment.
Topical hydrocortisone (
D) is a topical steroid and not indicated for systemic infections.
Extract:
A 3-year-old child with 160 mL urine output over 8 hr, weighs 33 lb.
Question 3 of 5
A nurse is caring for a 3-year-old child who has had 160 mL of urine output over the past 8 hr period. The child weighs 33 lb. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Provide oral rehydration fluids. The child's urine output is below the expected range for a 3-year-old, indicating possible dehydration. Providing oral rehydration fluids can help replenish lost fluids and prevent further complications. Other choices are incorrect: A- Continuing to monitor without intervention may lead to dehydration worsening; B- Performing a bladder scan is not indicated for addressing low urine output; D- Notifying the provider is not the initial action for managing dehydration in this scenario.
Extract:
A child with celiac disease.
Question 4 of 5
A nurse is providing teaching to a parent of a child who has celiac disease. The nurse should include which of the following food choices for this child?
Correct Answer: A
Rationale: The correct answer is A: Rice. Celiac disease is a gluten-sensitive enteropathy, where gluten found in wheat, rye, and barley triggers an immune response damaging the small intestine. Rice is a gluten-free grain safe for individuals with celiac disease. Rye, wheat, and barley contain gluten, which should be avoided by those with celiac disease as it can worsen symptoms and lead to complications.
Extract:
An infant with spina bifida undergoing surgical closure of the myelomeningocele sac.
Question 5 of 5
A nurse is planning care for an infant who has spina bifida and is to undergo surgical closure of the myelomeningocele sac. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: D
Rationale: The correct answer is D: Provide a latex-free environment. This is important because individuals with spina bifida often have latex allergies, and exposure to latex can lead to severe reactions. Providing a latex-free environment reduces the risk of allergic reactions and ensures the safety of the infant.
A: Maintaining the infant in the supine position is a general care guideline but not specific to spina bifida surgical closure.
B: Limiting visitors to immediate family members may be a good practice for infection control, but it is not directly related to spina bifida care.
C: Initiating contact precautions is important for preventing the spread of infection but is not specific to spina bifida care.
Therefore, the correct choice is D as it directly addresses the unique needs of the infant with spina bifida undergoing surgery.