ATI RN
ATI Pediatrics Exam NUrs 150 exam 3 Swaml Questions
Extract:
A toddler who has acute laryngotracheobronchitis and has been placed in a cool mist tent
Question 1 of 5
A nurse is caring for a toddler who has acute laryngotracheobronchitis and has been placed in a cool mist tent. Which of the following findings should indicate to the nurse that the treatment is effective?
Correct Answer: B
Rationale: The correct answer is B: Decreased stridor. Stridor is a high-pitched, noisy sound caused by turbulent airflow through a narrowed airway. In acute laryngotracheobronchitis, the airway is inflamed and narrowed, leading to stridor. Placing the toddler in a cool mist tent helps reduce airway inflammation and swelling, leading to decreased stridor. Barking cough (choice
A) is a symptom of croup and may persist despite effective treatment. Decreased temperature (choice
C) is not directly related to the effectiveness of the cool mist tent in managing airway swelling. Improved hydration (choice
D) is important for overall health but does not specifically indicate the effectiveness of the cool mist tent in managing the toddler's condition.
Extract:
A child who has cystic fibrosis and has a prescription for pancreatic enzymes
Question 2 of 5
A nurse is teaching the mother of a child who has cystic fibrosis and has a prescription for pancreatic enzymes three times per day. Which of the following statements by the mother indicates that she understands the teaching?
Correct Answer: D
Rationale: The correct answer is D: My child will take the enzymes to help digest the fat in foods. This statement indicates understanding because pancreatic enzymes are prescribed for individuals with cystic fibrosis to aid in the digestion of fats, proteins, and carbohydrates due to pancreatic insufficiency. By taking the enzymes, the child can better absorb essential nutrients from food.
Incorrect choices:
A: Enzymes should be taken before meals to aid in digestion.
B: Enzymes should be taken with meals for optimal effect.
C: Enzymes do not directly improve metabolism but help with nutrient absorption.
E, F, G: No information provided.
Extract:
An infant who has gastroesophageal reflux
Question 3 of 5
A nurse is caring for an infant who has gastroesophageal reflux. The nurse should place the infant in which of the following positions following feedings?
Correct Answer: D
Rationale: The correct answer is D: Place the infant in an infant seat. This position helps to keep the infant upright, which can reduce the likelihood of gastroesophageal reflux. Placing the infant on the left or right side or in a prone position can increase the risk of reflux as it can allow stomach contents to flow back up the esophagus. Placing the infant in an infant seat helps to prevent regurgitation and discomfort after feedings, making it the most appropriate choice in this scenario.
Extract:
A child who has acute gastroenteritis but is able to tolerate oral fluids
Question 4 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: The correct answer is A: Oral rehydration solution. This solution contains the optimal balance of electrolytes and glucose to help rehydrate and restore electrolyte balance in individuals with gastroenteritis. It helps prevent dehydration and replace lost fluids efficiently. Water (
B) lacks essential electrolytes, broth (
C) and diluted apple juice (
D) do not contain the necessary balance of electrolytes and glucose. In summary, oral rehydration solution is the most appropriate choice due to its ability to effectively rehydrate the child and restore electrolyte balance.
Extract:
An infant who has a 2-day history of vomiting and an elevated temperature
Question 5 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: The correct answer is B: Body weight. Body weight is the most reliable indicator of fluid loss in infants because even small changes in weight can indicate significant fluid loss. Infants have a higher percentage of body water compared to adults, making them more vulnerable to dehydration. Monitoring body weight allows for early detection of dehydration and guides appropriate fluid replacement therapy. Skin integrity (
A) can be affected by factors other than fluid loss. Blood pressure (
C) can be influenced by various factors and may not accurately reflect fluid status in infants. Respiratory rate (
D) may increase with dehydration but is not as specific or reliable as changes in body weight.