ATI RN
ATI Nursing Proctored Pediatric Test Banks Questions
Question 1 of 5
The MOST appropriate age of a child who helps to undress; puts 3 words together (subject, verb, object); and handles spoon well is
Correct Answer: C
Rationale: These milestones are typically achieved around 24 months.
Question 2 of 5
A client with rheumatoid arthritis is about to begin aspirin therapy to reduce inflammation. When teaching the client about aspirin, the nurse discusses adverse reactions to prolonged aspirin therapy. These include:
Correct Answer: D
Rationale: Prolonged aspirin therapy can lead to a rare side effect known as aspirin-induced hearing loss, which manifests as bilateral hearing loss. This adverse reaction is typically associated with higher doses of aspirin and longer durations of use. It is important for healthcare providers to monitor for signs of hearing loss in patients receiving long-term aspirin therapy, especially those with rheumatoid arthritis or other inflammatory conditions, to prevent irreversible damage to the hearing. Weight gain, respiratory acidosis, and fine motor tremors are not commonly associated with prolonged aspirin therapy.
Question 3 of 5
The couple with the lowest risk of having a child with sickle cell disease is the one in which the:
Correct Answer: D
Rationale: Sickle cell disease is an autosomal recessive genetic disorder caused by a mutation in the HBB gene, resulting in the production of abnormal hemoglobin called HbS. In order to have a child with sickle cell disease, both parents must be carriers of the HbS gene.
Question 4 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 5 of 5
Nurse Veronica is teaching a group of parents about otitis media. When discussing why children are predisposed to this disorder, the nurse should mention the significance of which anatomical feature?
Correct Answer: B
Rationale: The Eustachian tubes are small passages that connect the middle ear to the back of the throat. In young children, these tubes are shorter, more horizontal, and more narrow than in adults, making them more prone to blockages and infections. When these tubes become blocked, usually due to factors like swelling from allergies or a cold, fluid can build up in the middle ear leading to otitis media or middle ear infection. Therefore, the anatomy and size of the Eustachian tubes play a significant role in the predisposition of children to otitis media.