ATI RN
ATI Pediatrics Exam R37 Questions
Extract:
A 3-year-old child who has had 160 mL of urine output over the past 8 hr period and weighs 33 lb
Question 1 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: A
Rationale: The correct answer is A: Continue to monitor the client. In a 3-year-old child, the expected urine output is approximately 1 mL per kg per hour. In this case, the child weighs 33 lb, which is roughly 15 kg. So, the expected urine output over 8 hours would be around 120 mL. The child's actual urine output of 160 mL over 8 hours is within the expected range, indicating adequate renal function.
Therefore, there is no immediate concern, and the nurse should continue to monitor the client for any changes.
Option B: Notifying the provider is unnecessary as the urine output is within the expected range.
Option C: Providing oral rehydration fluids is not indicated as the child's urine output is adequate.
Option D: Performing a bladder scan is not necessary at this point as there are no indications of urinary retention.
Extract:
A child with symptoms of anaphylactic shock
Question 2 of 5
A child is brought to the emergency room with symptoms of anaphylactic shock. Which of the following cues would be most indicative of anaphylactic shock?
Correct Answer: B
Rationale: The correct answer is B: Wheezing and difficulty breathing. In anaphylactic shock, the body has a severe allergic reaction, leading to airway constriction and difficulty breathing. Wheezing is caused by the narrowing of the air passages. This is a critical sign of anaphylactic shock as it indicates a potential life-threatening situation requiring immediate intervention, such as administering epinephrine. The other choices are not specific to anaphylactic shock. Nausea and vomiting (
A) can occur but are not unique to anaphylaxis. Fever and chills (
C) are more likely indicative of an infection. Hives and itching (
D) are common symptoms of an allergic reaction but may not always accompany anaphylactic shock.
Extract:
An infant following an umbilical hernia repair
Question 3 of 5
A nurse is providing discharge teaching to parents of an infant following an umbilical hernia repair. Which of the following should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Keep the incision site dry and clean. After umbilical hernia repair, it is crucial to maintain good hygiene to prevent infection and promote healing. By keeping the incision site dry and clean, the risk of infection is minimized. This promotes optimal healing and reduces the chances of complications.
Rationales for other choices:
A: Avoid giving the infant any pain medication - Incorrect. Pain management is essential for the infant's comfort after surgery.
B: Allow the infant to cry for long periods of time - Incorrect. Crying can increase intra-abdominal pressure, potentially causing strain on the surgical site.
C: Apply pressure to the site each night - Incorrect. Applying pressure can disrupt the healing process and increase the risk of complications.
E, F, G: No additional choices provided.
Extract:
A child who has Hirschsprung disease is scheduled for initial surgery
Question 4 of 5
A nurse is providing teaching to a parent of a child who has Hirschsprung disease is scheduled for initial surgery. Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A: "I'm glad that my child's ostomy is only temporary." This statement indicates an understanding of the teaching because it shows awareness that the ostomy is a temporary measure and will not be permanent. Hirschsprung disease often requires a temporary ostomy before further surgeries to correct the condition. The other choices are incorrect because: B does not address the potential complications associated with the surgery, C is inaccurate as normal bowel movements may not be immediate post-surgery, and D is incorrect as follow-up visits are usually necessary for monitoring and managing the condition.
Extract:
A child with viral gastroenteritis
Question 5 of 5
When caring for a child with viral gastroenteritis. What is the nurse's priority?
Correct Answer: A
Rationale: The correct answer is A: Monitor fluid input and output closely. The priority in caring for a child with viral gastroenteritis is to prevent dehydration due to fluid loss from vomiting and diarrhea. Monitoring fluid intake and output helps assess hydration status. Encouraging a regular diet (choice
B) may worsen symptoms. Administering antibiotics (choice
C) is not indicated for viral infections. Antiemetic medication (choice
D) may help control symptoms but does not address the underlying issue of dehydration.