ATI RN
ATI Pediatric Proctored Exam Questions
Question 1 of 9
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: Isotonic dehydration requires the administration of normal saline to restore fluid balance.
Question 2 of 9
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.
Question 3 of 9
Which child does not need a urinalysis to evaluate for a UTI?
Correct Answer: C
Rationale: An 8-year-old male without current UTI symptoms (despite past surgery) does not require a urinalysis at this time.
Question 4 of 9
A 5-year-old girl requires a craniotomy for subarachnoid hemorrhage following a motor vehicle collision. Which of the following parameters is consistent with a postoperative diagnosis of syndrome of inappropriate antidiuretic hormone secretion (SIADH)?
Correct Answer: B
Rationale: SIADH typically presents with hyponatremia (low serum sodium), which is consistent with the value of 128 mEq/L.
Question 5 of 9
Undescended testis is a risk factor for the development of which of the following tumors?
Correct Answer: C
Rationale: Undescended testis is a well-documented risk factor for yolk sac tumors and other testicular cancers.
Question 6 of 9
A preschooler is scheduled for hydrotherapy treatment for wound debridement following a burn injury. Which of the following actions should be taken prior to the procedure?
Correct Answer: C
Rationale: Prior to hydrotherapy for wound debridement, it is crucial to administer an analgesic to the preschooler. The procedure is known to be extremely painful, and providing analgesia or sedation is essential to manage the discomfort and pain experienced by the child during the treatment.
Question 7 of 9
A child with sickle cell anemia is experiencing a vaso-occlusive crisis. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: During a vaso-occlusive crisis in sickle cell anemia, maintaining bed rest is crucial to reduce oxygen consumption and alleviate pain. Movement can worsen the crisis by increasing sickling of red blood cells, leading to further tissue damage and pain. Bed rest helps to improve blood flow, reduce pain, and promote healing.
Question 8 of 9
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: Isotonic dehydration requires the administration of normal saline to restore fluid balance.
Question 9 of 9
The BEST car safety issues for a 3-year-child is
Correct Answer: C
Rationale: A forward-facing car seat is appropriate for a 3-year-old.