ATI RN
ATI Pediatric Proctored Exam Questions
Question 1 of 5
A child returns from exploratory surgery following a gunshot wound to the abdomen. Which nursing intervention should be excluded from the plan of care?
Correct Answer: A
Rationale: Immediate initiation of oral feedings is contraindicated post-abdominal surgery due to the risk of bowel complications such as paralytic ileus or anastomotic leak. Starting oral feedings immediately can increase the risk of these complications and hinder the healing process. It is crucial to wait until bowel function returns and the patient shows signs of tolerance before introducing oral feedings. Assessment of the surgical site, administration of opioid narcotics for pain management, and visitation at the bedside are essential components of postoperative care and should not be excluded.
Question 2 of 5
In the morning, a healthcare professional receives change-of-shift report on four pediatric clients, each of whom has some form of fluid-volume excess. Which of the children should the healthcare professional see first?
Correct Answer: A
Rationale: The child with tachypnea and pulmonary congestion should be seen first as these symptoms indicate a more severe form of fluid-volume excess that requires immediate attention. Tachypnea is an increase in respiratory rate, which could be a sign of respiratory distress, and pulmonary congestion indicates fluid accumulation in the lungs, posing a significant risk to the child's respiratory function.
Question 3 of 5
The nurse is expecting the admission of a child with severe isotonic dehydration. Which intravenous fluid prescription does the nurse anticipate for this child?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
As a result of opioid administration, a child's respirations are slow and shallow. Which should the nurse anticipate when assessing the child's arterial blood gas?
Correct Answer: A
Rationale: When a child's respirations are slow and shallow due to opioid administration, it results in hypoventilation. This leads to retaining carbon dioxide, indicated by an increased PCO2 level on arterial blood gas analysis, and subsequently causes respiratory acidosis due to the buildup of CO2 in the blood.
Question 5 of 5
The nurse is preparing to administer a daily dose of digoxin. What is the priority nursing intervention?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.