ATI RN
ATI Pediatrics Proctored Exam 2023 Quizlet Questions
Question 1 of 5
A child with nephrotic syndrome has not experienced diuresis after a month on corticosteroids. What protocol can the nurse encourage to induce diuresis?
Correct Answer: B
Rationale: If diuresis has not occurred with corticosteroids in nephrotic syndrome, a diuretic like Furosemide (Lasix) is the appropriate choice to promote diuresis. Furosemide works by increasing urine production and reducing fluid retention. While Ibuprofen is an anti-inflammatory agent, it does not directly induce diuresis. Ciprofloxacin is an antibiotic and is not indicated for promoting diuresis in this scenario. Cyclophosphamide is an immunosuppressant, not an antisuppressant, and is not typically used to induce diuresis in nephrotic syndrome.
Question 2 of 5
The 6-year-old child scheduled for an orchiopexy shyly asks the nurse, 'What are they going to do to me 'down there'? What is the nurse's best response?
Correct Answer: C
Rationale: The nurse should encourage the child to express his thoughts and feelings about the upcoming surgery. This approach helps the child feel heard and understood while providing an opportunity to address any misconceptions or fears. By asking the child what he thinks the doctor will do, the nurse engages the child in a conversation that can help alleviate anxiety and build trust. School-age children often have fears related to bodily harm, and open communication can help alleviate such concerns.
Question 3 of 5
Marge is a 2-year-old girl who does not sit and eat at mealtimes but rather brings food to many rooms, eats a few bites, and drops it. Her parents report that she is a 'fussy eater.' Marge is significantly below weight for her age. She does not have any oral motor structure abnormalities, but eats only certain foods with the same texture. Which intervention strategy would be best to address the environmental context?
Correct Answer: B
Rationale: In the case of Marge, who exhibits selective eating habits and struggles with weight gain, providing high-calorie snacks and meals at the table throughout the day can be an effective intervention. This strategy can help increase her food intake in a structured environment, promoting healthier eating habits and potentially addressing her below-average weight status. By offering calorie-dense foods at designated meal times, Marge may be more likely to consume the necessary nutrients to support her growth and development, ultimately improving her overall health.
Question 4 of 5
A nurse is caring for a school-age child with primary nephrotic syndrome who is taking prednisone. After 1 week of treatment, which manifestation indicates to the nurse that the medication is effective?
Correct Answer: A
Rationale: In a child with nephrotic syndrome, the presence of edema is due to fluid retention caused by protein loss in the urine. Prednisone, a corticosteroid, helps reduce inflammation and decrease the loss of protein in the urine, leading to a decrease in edema. Therefore, decreased edema is an indication that the prednisone treatment is effective in managing the nephrotic syndrome.
Question 5 of 5
A nurse is teaching a group of parents about preventing childhood obesity. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: The nurse should instruct parents to limit their child’s TV watching to 1 to 2 hours per day to prevent childhood obesity.
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