ATI RN
ATI Pediatrics Exam NUrs 150 exam 3 Swaml Questions
Extract:
A child who has acute gastroenteritis but is able to tolerate oral fluids
Question 1 of 5
A nurse is caring for a child who has acute gastroenteritis but is able to tolerate oral fluids. The nurse should anticipate providing which of the following types of fluid?
Correct Answer: A
Rationale: Oral rehydration solution restores electrolytes and glucose, preventing dehydration. Water, broth, and juice risk electrolyte imbalances or diarrhea.
Extract:
A 2-year-old child who has a high fever, severe dyspnea, and is drooling
Question 2 of 5
A nurse in an emergency department is assessing a 2-year-old child who has a high fever, severe dyspnea, and is drooling. Which of the following actions is the nurse's priority?
Correct Answer: C
Rationale: High fever, dyspnea, and drooling suggest epiglottitis, requiring immediate airway management via intubation to prevent obstruction. Other actions follow airway stabilization.
Extract:
An infant who has a 2-day history of vomiting and an elevated temperature
Question 3 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 fluid loss?
Correct Answer: B
Rationale: Body weight is the most reliable indicator of fluid loss, reflecting changes in water and electrolytes. Skin, blood pressure, and respiratory rate are less specific.
Extract:
An infant who is 2 months old, born at 39 2/7 weeks, Apgar 8 and 9, weighed 2.04 kg at birth, fussy, hard to console, vomits 60-90 mL after feeding
Question 4 of 5
A nurse on the pediatric unit is assessing an infant who is 2 months old. The infant was born by spontaneous vaginal delivery at 39 2/7 weeks, Apgar 8 and 9, received regular newborn care and screening, and was discharged home with the mother. The infant weighed 2.04 kg (4 lbs 8 oz) and was 18 inches (45.7 cm) in length at birth. The guardians report that in the last 3 days, the infant has been fussy and hard to console within the first hour after feeding. The infant takes formula and vomits after each feeding, about 60-90 mL (2 to 3 ounces) of partially digested formula. Which of the following conditions is the infant most likely to have?
Correct Answer: A
Rationale: Projectile vomiting, fussiness, and poor weight gain suggest pyloric stenosis, a condition obstructing stomach outflow, common in young infants. Reflux causes milder symptoms, celiac disease involves gluten, and lactose intolerance causes diarrhea.
Extract:
A client who is postoperative following a tonsillectomy
Question 5 of 5
A nurse in a PACU is admitting a client who is postoperative following a tonsillectomy. Which of the following actions should the nurse plan to take to prevent aspiration? Select all that apply
Correct Answer: A,B,E
Rationale: Withholding fluids until the gag reflex returns, suctioning the nasopharynx, and administering antiemetics prevent aspiration by ensuring airway protection and reducing vomiting. Humidifiers aid comfort, not aspiration prevention, and chest physiotherapy risks bleeding.