ATI RN
ATI Pediatric Proctored Exam Questions
Question 1 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 2 of 9
A 9-mo-old infant is recently diagnosed with bilateral retinoblastoma; examination under anesthesia reveals bilateral multifocal involvement of the retina. An important next step in the management is
Correct Answer: B
Rationale: Retinal examination of first-degree relatives is crucial to identify hereditary forms of retinoblastoma.
Question 3 of 9
A 6-year-old male child presented with a cerebellar mass; after undergoing complete surgical resection of the mass, the histology of the mass reveals pilocytic astrocytoma. Of the following, the MOST appropriate next step in the management is
Correct Answer: C
Rationale: Pilocytic astrocytomas are generally low-grade tumors, and observation is often sufficient after complete resection.
Question 4 of 9
A parent of a child with cystic fibrosis is being taught about dietary guidelines. Which statement by the parent indicates an understanding of the teaching?
Correct Answer: A
Rationale: For a child with cystic fibrosis, a high-calorie, high-protein diet is recommended to meet the increased metabolic needs associated with the condition. The protein helps with growth and repair, while the extra calories help compensate for malabsorption and increased energy requirements.
Question 5 of 9
When a patient is taking glucocorticoids and digoxin, which electrolyte should the nurse prioritize monitoring?
Correct Answer: D
Rationale: The nurse should primarily monitor potassium levels in a patient taking glucocorticoids and digoxin. Glucocorticoids can lead to potassium loss, potentially increasing the risk of digoxin toxicity. Additionally, glucocorticoids may worsen hypokalemia induced by diuretics like thiazides and loops.
Question 6 of 9
Small round blue cell tumors refer to all the following EXCEPT
Correct Answer: B
Rationale: Osteosarcoma does not typically fall under the category of small round blue cell tumors.
Question 7 of 9
A nurse provides dietary teaching to the guardian of a school-age child with cystic fibrosis. Which statement should the nurse make?
Correct Answer: A
Rationale: High-protein meals and snacks are essential for children with cystic fibrosis due to their increased nutritional needs. Protein helps in maintaining muscle mass and overall health in individuals with cystic fibrosis, making it crucial to include in their diet.
Question 8 of 9
A toddler is admitted to the surgical unit for a planned closure of a temporary colostomy. Which medical prescription should the nurse question?
Correct Answer: C
Rationale: Rectal temperatures are contraindicated in a toddler with a colostomy due to the risk of injury.
Question 9 of 9
Which question does not provide information regarding the family's cultural values?
Correct Answer: B
Rationale: The correct answer is B. Asking for the child's date of birth is a factual question that does not directly relate to the family's cultural values. The other choices (A, C, D) explore aspects that could provide insights into the family's cultural values and beliefs, such as decision-making dynamics, daily routines, mealtime rules, and views on disability.