ATI RN
ATI Pediatric Proctored Exam Questions
Question 1 of 5
The healthcare provider discussed strategies with a parent to prevent a recurrence of urinary tract infection in the child. Which statement made by the parent indicates a need for further teaching?
Correct Answer: C
Rationale: In this scenario, option C, "It is acceptable to take frequent bubble baths," indicates a need for further teaching. Bubble baths can irritate the urethra and increase the risk of urinary tract infections (UTIs) in children by introducing bacteria into the urinary tract. Therefore, this statement goes against the goal of preventing UTIs. Option A is correct because washing and wiping the perineal area from front to back helps prevent the introduction of bacteria into the urinary tract. Option B is also correct as cotton underwear helps keep the perineal area dry, reducing the risk of UTIs. Option D is correct as staying hydrated and voiding frequently help flush out bacteria from the urinary tract. In a pediatric nursing context, it is crucial to educate parents on proper hygiene practices and lifestyle modifications to prevent UTIs in children. Emphasizing the importance of these strategies can help parents play an active role in maintaining their child's urinary health and well-being.
Question 2 of 5
Which assessment finding for a 4-month-old infant would require further action by the nurse?
Correct Answer: A
Rationale: In this scenario, option A, "The posterior fontanel is open," would require further action by the nurse for a 4-month-old infant. The posterior fontanel typically closes by 2 months of age, so its persistence being open at 4 months could indicate a potential issue with normal growth and development or increased intracranial pressure, necessitating further assessment and intervention. Option B, "The infant has good head control when held upright," is a normal developmental milestone for a 4-month-old infant, indicating appropriate muscle strength and coordination. Option C, "The infant is able to roll only from abdomen to back," is also a normal developmental milestone at this age, as infants typically develop the ability to roll from abdomen to back before mastering back to abdomen rolling. Option D, "The anterior fontanel is open and soft," is a normal finding in infants, as the anterior fontanel can remain open and soft until around 18 months of age, allowing for brain growth and development. Educationally, understanding the significance of fontanel closure and developmental milestones is crucial for pediatric nursing practice. This knowledge helps nurses identify deviations from normal growth and development, enabling timely interventions and promoting optimal health outcomes for infants.
Question 3 of 5
A young child admitted to the pediatric unit has fever, irritability, and vomiting with suspected bacterial meningitis. Which cerebrospinal fluid (CSF) result should the nurse anticipate based on these data?
Correct Answer: D
Rationale: In a young child with suspected bacterial meningitis presenting with fever, irritability, and vomiting, the nurse should anticipate a decreased glucose level in the cerebrospinal fluid (CSF). This is because bacterial meningitis causes an inflammatory response in the central nervous system, leading to increased consumption of glucose by the infecting organisms and inflammatory cells. A decreased CSF glucose level is a hallmark finding in bacterial meningitis and indicates the presence of an infectious process. Option A: Decreased protein count is not the expected finding in bacterial meningitis. In fact, bacterial meningitis typically presents with an elevated protein count in the CSF due to the inflammatory response. Option B: Clear, straw-colored fluid is not indicative of bacterial meningitis. In meningitis, the CSF is typically cloudy due to the presence of increased white blood cells and protein. Option C: A positive for red blood cells (RBCs) is not a characteristic finding in bacterial meningitis. The presence of RBCs in the CSF may suggest a traumatic tap rather than an infectious process. Educationally, understanding the expected CSF findings in bacterial meningitis is crucial for nurses caring for pediatric patients. Recognizing these key diagnostic indicators can help in prompt identification and treatment of this potentially life-threatening condition. Nurses must be knowledgeable about interpreting CSF results and understand the implications for patient care and management.
Question 4 of 5
A 9-month-old infant who is not sitting independently has been diagnosed with ataxic cerebral palsy (CP). Which clinical manifestations would the nurse expect to see in the baby?
Correct Answer: A
Rationale: In ataxic cerebral palsy, the characteristic features include hypotonia (low muscle tone) and muscle instability. These manifestations contribute to the infant's difficulty in achieving independent sitting. Hypertonia (increased muscle tone) and persistence of primitive reflexes, as mentioned in option B, are more commonly associated with other types of cerebral palsy. Tremors and exaggerated posturing (option C) are not typical features of ataxic CP. Hemiplegia (paralysis of one side of the body) and hypertonia (increased muscle tone) mentioned in option D are more commonly seen in other types of cerebral palsy, such as spastic CP.
Question 5 of 5
When the home health nurse visits the home of a 10-month-old child, she observes the environment for risks of injury to the child. Which observation will the nurse discuss with the mother?
Correct Answer: A
Rationale: The correct answer is A because leaving a filled mop bucket on the floor poses a drowning hazard for a 10-month-old child. Water in the bucket can be a potential drowning risk if the child falls into it. Pan handles turned to the back of the stove prevent accidental spills or burns. Filling the bathtub before bringing the baby into the bathroom helps in preventing burns from hot water. Placing the child in a car seat in the middle of the back seat provides safety by minimizing the risk of injury during a car ride.