ATI RN
ATI RN Pediatric Nursing 2023 Exam 3 Questions
Question 1 of 5
A nurse is caring for a newly admitted child who has cystic fibrosis. For which of the following members of the interprofessional team should the nurse initiate a referral?
Correct Answer: A
Rationale: The correct answer is A: Dietitian. In cystic fibrosis, nutrition is crucial due to malabsorption issues. A dietitian can assess the child's nutritional needs, provide dietary recommendations, and help optimize nutrient intake. Referring to an occupational therapist (
B) would address activities of daily living, not specific to cystic fibrosis. Speech-language pathologists (
C) focus on speech and swallowing disorders, not directly related to cystic fibrosis. Physical therapists (
D) primarily address mobility and physical function, which may not be the priority in cystic fibrosis.
Question 2 of 5
A nurse is planning care for a child who is in the acute stage of nephrotic syndrome. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: A
Rationale: The correct answer is A: Weigh the child once per day. In nephrotic syndrome, monitoring weight daily is crucial to assess fluid status and response to treatment. Weight gain indicates fluid retention, a common complication. Positioning the child supine (
B) is not relevant. Calorie intake should be sufficient to meet increased metabolic demands, so limiting it to 45 cal/kg/day (
C) is incorrect. Increasing fluid intake to 2 L/day (
D) may worsen fluid overload.
Question 3 of 5
A nurse is teaching the parent of an infant who has a new diagnosis of heart failure about nutrition. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Implement a 3 hr feeding schedule. In heart failure, infants may have difficulty feeding due to increased work of breathing. Implementing a 3 hr feeding schedule ensures the infant has enough time to rest and conserve energy between feedings, reducing the risk of fatigue and respiratory distress.
Choices A and D are incorrect as they do not address the specific needs of an infant with heart failure.
Choice B is incorrect as placing the infant in a recumbent position during feeding can worsen respiratory distress.
Question 4 of 5
A nurse is assessing a 7-year-old child who has diabetes mellitus. Which of the following findings should the nurse identify as a manifestation of hypoglycemia?
Correct Answer: B
Rationale: The correct answer is B: Shakiness. Hypoglycemia in a child with diabetes mellitus can cause the body to release stress hormones like adrenaline, leading to symptoms such as shakiness, sweating, and palpitations. This is due to the low blood sugar levels affecting the brain's glucose supply, causing these physical manifestations. Increased capillary refill (choice
A) is more indicative of dehydration. Thirst (choice
C) is a symptom of hyperglycemia, not hypoglycemia. Decreased appetite (choice
D) can occur with both high and low blood sugar levels but is not a specific manifestation of hypoglycemia in this context.
Question 5 of 5
A nurse is reviewing the laboratory results of a child who was recently admitted for suspected rheumatic fever. The nurse should identify that which of the following laboratory tests can contribute to confirming this diagnosis? Select all that apply.
Correct Answer: B,C,D
Rationale: The correct laboratory tests to confirm rheumatic fever are CRP, ESR, and ASO titer.
1. CRP is a marker of inflammation and is elevated in rheumatic fever.
2. ESR measures the rate at which red blood cells settle in a tube of blood and is elevated in inflammatory conditions like rheumatic fever.
3. ASO titer detects antibodies produced in response to a recent streptococcal infection, a common trigger for rheumatic fever.
A: PTT measures blood clotting time and is not specific to rheumatic fever.
E: BUN is a measure of kidney function and is not useful in diagnosing rheumatic fever.
In summary, the correct tests help confirm rheumatic fever by assessing inflammation, immune response, and streptococcal infection.