ATI RN
ATI Pediatrics Exam 2 Questions
Extract:
A child with a new diagnosis of diabetes mellitus.
Question 1 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: B
Rationale:
Correct
Answer: B: 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 occurs when blood glucose levels drop too low. This statement indicates that the parents understand the signs of low blood glucose and can respond promptly to prevent complications.
Incorrect
Choices:
A: The onset of low blood glucose usually occurs slowly - This statement is incorrect as the onset of hypoglycemia can be sudden and rapid, especially in children with diabetes.
C: Sweating can occur with hyperglycemia - Sweating is a symptom more commonly associated with hypoglycemia rather than hyperglycemia.
D: My son might have nausea and vomiting with hypoglycemia - Nausea and vomiting are less common symptoms of hypoglycemia compared to shakiness.
Extract:
A child with a history of asthma.
Question 2 of 5
A nurse in a provider's office is caring for a child who has a history of asthma. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Wheezes in the lower lobes. Wheezes indicate airway constriction, a common symptom of asthma. Reporting this finding to the provider is crucial as it suggests exacerbation of asthma requiring prompt intervention.
Choice A, C, and D are within normal limits for a child with asthma and do not necessarily indicate worsening symptoms. It is important to report abnormal assessment findings that may indicate a change in the child's condition and require immediate attention.
Extract:
An infant with developmental dysplasia of the hip (DDH) using a Pavlik harness.
Question 3 of 5
A nurse in a provider's office is caring for an infant who has developmental dysplasia of the hip (DDH). The nurse should include which of the following instructions in the teaching plan for the parents about the Pavlik harness?
Correct Answer: D
Rationale: Answer D is correct because it is essential to regularly check the infant's skin under the harness for signs of redness or irritation. This is crucial in preventing skin breakdown or pressure ulcers, which can occur due to prolonged pressure from the harness. Regular skin checks ensure early detection of any issues, allowing for timely intervention.
Choice A is incorrect because the harness should not be removed when bathing the infant to maintain proper positioning and treatment effectiveness.
Choice B is incorrect as adjusting the straps without professional guidance can lead to improper harness fit and potentially worsen the condition.
Choice C is incorrect as placing clothing under the straps can create friction and increase the risk of skin irritation.
Extract:
A 4-month-old infant in the emergency department with fever, irritability, lethargy, bulging fontanel, clear cerebrospinal fluid from lumbar puncture, retinal hemorrhages.
Question 4 of 5
The nurse is caring for a 4-month-old infant in the emergency department. The nurse reviews the infant's medical record and assessment findings. Which of the following conditions should the nurse suspect, and what actions should the nurse take to address that condition, and what parameters should the nurse monitor to assess the infant's progress? The nurse should suspect that the infant has
Correct Answer: A
Rationale: The correct answer is A: meningitis. The nurse should suspect meningitis in a 4-month-old infant due to the infant's young age and vulnerability to infections.
To address this condition, the nurse should notify the healthcare provider immediately for further evaluation and initiation of appropriate treatment such as antibiotics. The nurse should monitor the infant's vital signs, neurological status, and response to treatment to assess progress. Meningitis can be life-threatening, especially in infants, so early recognition and intervention are crucial.
B: Hydrocephalus is characterized by an abnormal accumulation of cerebrospinal fluid in the brain, causing increased intracranial pressure. This is not typically associated with a 4-month-old infant presenting in the emergency department.
C: Intracranial hemorrhage may present with symptoms such as vomiting, irritability, seizures, or altered mental status. While it is a serious condition, it is less common in infants compared to meningitis.
D: Sepsis is a systemic
Extract:
Date formatting.
Question 5 of 5
Which of the following is the correct way to write the date in the American format?
Correct Answer: A
Rationale: The correct way to write the date in the American format is Month/Day/Year.
Therefore, choice A is correct as it follows this format.
Choice B is incorrect as it uses Day/Month/Year, which is not the American format.
Choice D is also incorrect as it has Year/Day/Month format.
Choices C, E, F, and G are not provided, so they are automatically incorrect. In conclusion, option A is correct because it adheres to the standard American date format.