ATI RN
ATI Nursing Proctored Pediatric Test Banks Questions
Question 1 of 5
Which blood gas analyses are most indicative of respiratory acidosis?
Correct Answer: A
Rationale: Respiratory acidosis is indicated by a low pH and elevated PCO2, as seen in option A.
Question 2 of 5
A nurse is assessing a child with an unrepaired ventricular septal defect. Which heart sound does the nurse expect to assess?
Correct Answer: C
Rationale: A ventricular septal defect (VSD) is a congenital heart defect characterized by a hole in the septum that separates the heart's two lower chambers (ventricles). When assessing a child with an unrepaired VSD, the nurse would expect to hear a murmur. The murmur is typically described as a harsh, holosystolic (pansystolic) murmur, best heard at the left lower sternal border. This murmur occurs due to the turbulent blood flow across the defect during systole. It is important for the nurse to recognize this characteristic murmur associated with a VSD to facilitate appropriate management and follow-up care for the child.
Question 3 of 5
Which of the following statements would be most appropriate when assisting a patient who has the nursing diagnosis ofAltered Thought Process with Persona! Hygiene Needs?
Correct Answer: D
Rationale: Option D is the most appropriate statement when assisting a patient with altered thought process and personal hygiene needs. This statement provides the patient with a choice between brushing their teeth independently or having assistance, while also emphasizing the importance of self-care activities. Offering patients choices empowers them and helps maintain their sense of autonomy, even when dealing with altered thought processes. Additionally, encouraging patients to perform activities for themselves can help improve their self-esteem and promote independence.
Question 4 of 5
A 52-year old female tells the nurse that she has found a painless lump in her right breast during her monthly self- examination. Which assessment finding would strongly suggest that this client's lump is cancerous?
Correct Answer: C
Rationale: The assessment finding that strongly suggests that the client's lump is cancerous is a non-mobile mass with irregular edges delineated. Generally, cancerous breast lumps tend to have irregular shapes/edges and lack mobility. This finding is concerning for malignancy because it indicates that the lump is fixed in place and possibly invading nearby tissues, which are characteristics often associated with cancerous tumors. It's essential for the client to undergo further diagnostic tests, such as a biopsy, to confirm the presence of cancer and establish a proper treatment plan.
Question 5 of 5
Which describes marasmus?
Correct Answer: D
Rationale: Marasmus is a form of severe malnutrition characterized by a deficiency of both calories and protein in the diet. It typically occurs in young children and is often associated with a lack of adequate food intake. The classic presentation of marasmus includes extreme wasting of muscle and fat tissues, resulting in a gaunt appearance with thin limbs and a distended abdomen due to diminished muscle and subcutaneous fat. This differentiates it from kwashiorkor, another form of severe acute malnutrition characterized by edema and a protruding belly but with retained muscle mass. Therefore, option D, characterized by thin, wasted extremities and a prominent abdomen resulting from edema (ascites), accurately describes marasmus.