ATI RN
ATI Nursing Proctored Pediatric Test Banks Questions
Question 1 of 5
Failure to thrive (FTT) is a descriptive term given to malnourished infants and young children who fail to meet expected standards of growth. Of the following, the growth parameter that is usually not affected by malnutrition is
Correct Answer: D
Rationale: Head circumference is less likely to be affected by short-term malnutrition because brain growth is prioritized during infancy and early childhood.
Question 2 of 5
Extraneural metastasis from primary brain tumors is MOST commonly likely to occur in which tumor?
Correct Answer: A
Rationale: Medulloblastoma is notorious for extraneural spread, particularly to bones and bone marrow.
Question 3 of 5
In embryonic period, formation of all of the following occur by the given time EXCEPT
Correct Answer: D
Rationale: Endoderm formation occurs much earlier than 10 weeks in the embryonic period.
Question 4 of 5
A neonate, who was delivered by Cesarean section for a breech presentation, is being examined in the neonatal nursery. For which of the following complications should the nurse carefully assess the baby?
Correct Answer: A
Rationale: A neonate delivered by Cesarean section for a breech presentation is at higher risk for developmental dysplasia of the hips (DDH). Breech presentation, especially frank breech, increases the chance of hip instability and DDH due to the positioning of the legs in utero. DDH is a condition where the ball and socket joint of the hip does not properly form, leading to potential dislocation of the hip joint. It is important for the nurse to carefully assess the neonate for signs of hip dysplasia, such as limited hip abduction or asymmetry in the thigh folds, to facilitate early detection and intervention for optimal outcomes. Legg-Calve-Perthes (LCP), Duchenne muscular dystrophy (DMD), and slipped capital femoral epiphysis (SCFE) are not specifically related to breech delivery, and therefore, are less likely to be
Question 5 of 5
Which is the most reliable method for monitoring fluid balance?
Correct Answer: A
Rationale: Monitoring daily intake and output is the most reliable method for assessing fluid balance in a patient. By accurately measuring the amount of fluids taken in through foods, drinks, and IV fluids, as well as the amount of fluids eliminated through urine, stool, vomit, and other means, healthcare providers can closely track the body's fluid balance. Discrepancies between intake and output can indicate potential issues such as dehydration or fluid overload. This method provides quantitative data that can guide appropriate interventions and treatment adjustments to maintain the patient's fluid balance within normal limits. While vital signs, daily weight, and skin turgor are also important indicators of fluid status, they may not always provide as specific or accurate information as the direct measurement of intake and output.