ATI RN
ATI Nursing Proctored Pediatric Test Banks Questions
Question 1 of 5
A 10-mo-old boy has a left suprarenal mass. Surgery is accomplished with complete removal of the mass as well as the non-adherent lymph nodes; surgical biopsies are taken during surgery. The histology reveals poorly differentiated neuroblastoma with microscopic ipsilateral lymph nodes involvement. The contralateral lymph nodes are negative. Of the following, the BEST therapeutic approach for this infant is
Correct Answer: A
Rationale: Complete resection with microscopic residual disease typically warrants adjuvant chemotherapy.
Question 2 of 5
The nurse is assessing a 3-day-old, breastfed newborn who weighed 7 pounds, 8 ounces at birth. The newborn's mother is now concerned that the newborn weighs 6 pounds, 15 ounces. Which is the most appropriate nursing intervention?
Correct Answer: B
Rationale: It is normal for newborns to lose weight in the first few days of life, typically up to 10% of their birth weight. In this case, the newborn's weight loss from 7 pounds, 8 ounces to 6 pounds, 15 ounces is within the expected range. It is important for the nurse to reassure the mother that this weight loss is normal and to encourage continued breastfeeding on demand to support newborn hydration and nutrition. There is no need for supplemental feedings at this point unless there are other signs of feeding issues or concerns.
Question 3 of 5
Justine is admitted to the pediatric unit due to the occurrence of diabetic ketoacidosis signaling a new diagnosis of diabetes. The diabetes team explores the cause of the episode and take steps to prevent a recurrence. Diabetic ketoacidosis (DKA) results from an excessive accumulation of which of the following?
Correct Answer: D
Rationale: Diabetic ketoacidosis (DKA) is a serious complication of diabetes that occurs when there is not enough insulin in the body. In the absence of sufficient insulin, the body is unable to use glucose for energy, leading to the breakdown of fats for fuel. This results in the excessive production of ketone bodies, specifically acetoacetate and beta-hydroxybutyrate. As the ketone bodies accumulate in the blood, they lower the blood pH, leading to acidosis. This is what causes the characteristic symptoms of DKA, such as fruity breath, deep rapid breathing, and abdominal pain. Therefore, the excessive accumulation of ketone bodies from fat metabolism is the primary cause of diabetic ketoacidosis.
Question 4 of 5
Nursing interventions for the child after a cardiac catheterization should include which actions? (Select all that apply.)
Correct Answer: A
Rationale: Allowing ambulation as tolerated helps promote circulation and prevent complications such as blood clots.
Question 5 of 5
One of the clinical manifestations of chronic renal failure is uremic frost. Which best describes this term?
Correct Answer: B
Rationale: Uremic frost is a term used to describe the presence of urea crystals on the skin of individuals with chronic renal failure. As kidney function declines in chronic renal failure, the body is unable to effectively excrete waste products such as urea. Urea can then be deposited on the skin when sweating, leading to the formation of white or frost-like crystals, giving the appearance of "uremic frost." This condition is a visible indicator of severe kidney dysfunction and the buildup of waste products in the body.