ATI RN
ATI Pediatrics Exam R37 Questions
Extract:
A child who has celiac disease
Question 1 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: C
Rationale: The correct answer is C: Rice. Rice is a gluten-free grain suitable for children with celiac disease. Barley, wheat, and rye contain gluten, which can trigger adverse reactions in individuals with celiac disease. By choosing rice, the nurse ensures the child's diet is free of gluten, promoting better health outcomes. It's essential to avoid gluten-containing grains to prevent intestinal damage and other complications in celiac disease. Rice is a safe and nutritious alternative that provides energy and essential nutrients without exacerbating the condition.
Extract:
An infant who has severe dehydration from acute gastroenteritis
Question 2 of 5
A nurse is admitting an infant who has severe dehydration from acute gastroenteritis. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: 13% weight loss. Severe dehydration from acute gastroenteritis can lead to significant weight loss in infants due to fluid loss. A 13% weight loss indicates severe dehydration requiring prompt intervention.
Incorrect choices:
A: Bulging anterior fontanel - This is a sign of increased intracranial pressure, not dehydration in infants.
B: Bradypnea - Bradypnea is slow breathing rate, which is not typically associated with severe dehydration.
D: Capillary refill 3 seconds - Prolonged capillary refill time may indicate poor circulation, but it is not a specific finding for severe dehydration in infants.
Extract:
A child who has acute gastroenteritis but is able to tolerate oral fluids
Question 3 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: D
Rationale: The correct answer is D: Oral rehydration solution. This is the best choice as it contains the optimal balance of electrolytes and glucose to help rehydrate the child and restore electrolyte balance lost due to diarrhea. Broth (
A) lacks necessary electrolytes, water (
B) may not be sufficient in restoring electrolyte balance, and diluted apple juice (
C) may worsen diarrhea due to its high sugar content. Other choices are irrelevant. In summary, only oral rehydration solution (
D) provides the necessary electrolytes and glucose for effective rehydration in a child with acute gastroenteritis.
Extract:
A 2-month-old infant who is postoperative following repair of a cleft lip and palate
Question 4 of 5
A nurse is caring for a 2-month-old infant who is postoperative following repair of a cleft lip and palate. The provider prescribes restraints. The nurse should apply which of the following types of restraints for this infant?
Correct Answer: B
Rationale: The correct answer is B: Elbow restraints. Elbow restraints are commonly used in postoperative care for infants to prevent them from touching or disrupting the surgical site. This type of restraint allows for some movement and flexibility while still restricting the infant's ability to reach the surgical area. Elbow restraints are considered safe and effective for infants following cleft lip and palate repair surgery.
A: Mummy restraints involve wrapping the entire body tightly, which can be too restrictive and uncomfortable for the infant.
C: Jacket restraints cover the chest and arms, but they may not provide enough immobilization for the specific needs of a postoperative cleft lip and palate repair.
D: Wrist restraints may not be effective as they do not prevent the infant from reaching the surgical site.
Overall, elbow restraints are the most appropriate choice as they balance the need for restriction with the infant's comfort and safety.
Extract:
Question 5 of 5
Which of the following is an appropriate consideration for pediatric fluid replacement?
Correct Answer: C
Rationale: The correct answer is C: Adjusting fluid replacement based on weight and age. This is appropriate for pediatric patients because children have different fluid requirements compared to adults. Weight and age are important factors in determining the appropriate fluid replacement volume to prevent overhydration or dehydration. Using the same guidelines as adults (choice
A) is incorrect as children have unique physiological needs. Providing excessive fluid replacement (choice
B) can lead to fluid overload and adverse effects. Ignoring fluid replacement (choice
D) is dangerous as children are more vulnerable to dehydration.