ATI RN
ATI Pediatrics Test Bank Questions
Question 1 of 5
Which clinical manifestation should the nurse expect to see as shock progresses in a child and becomes decompensated shock?
Correct Answer: D
Rationale: As shock progresses and becomes decompensated in a child, profound perfusion abnormalities lead to inadequate oxygen and nutrient delivery to the brain. This can result in altered mental status such as confusion and somnolence. As the body struggles to maintain adequate perfusion to vital organs, the brain may be one of the first organs to demonstrate signs of inadequate perfusion. Thirst, irritability, and apprehension are more commonly seen in the early stages of shock. Confusion and somnolence indicate a more severe and critical state of shock where the child's body is struggling to maintain adequate blood flow to vital organs, including the brain.
Question 2 of 5
What equipment should the nurse prepare for the primary care provider when a woman says she is concerned about possible Chlamydia infection?
Correct Answer: B
Rationale: When a woman expresses concerns about a possible Chlamydia infection, the nurse should prepare a Chlamydia collection kit for the primary care provider. This kit typically includes everything needed to collect a specimen for testing, such as a swab for the patient to provide a genital sample. This sample can then be sent to a laboratory for testing to confirm the presence of Chlamydia. Having the appropriate collection kit ready ensures that the primary care provider can promptly gather the necessary information to make an accurate diagnosis and provide appropriate treatment if needed.
Question 3 of 5
.A client complains of urinary discomfort and a burning sensation while urinating. A urethral smear shows evidence of urethritis, and the client is prescribed antibiotics and instructed to drink 2-3 L of water daily. For which of the ff reasons is the client advised to drink the specified amount of water?
Correct Answer: B
Rationale: The client is advised to drink 2-3 liters of water daily because it will promote renal blood flow and flush bacteria from the urinary tract. Increased water intake helps to dilute the urine, making it easier to flush out harmful bacteria that may be causing the urinary discomfort and urethritis. Adequate hydration is crucial for maintaining healthy urinary function and preventing urinary tract infections. By increasing water consumption, the client can help reduce the concentration of bacteria in the urinary tract, supporting the effectiveness of the prescribed antibiotics in treating the urethritis.
Question 4 of 5
The lungs regulate acid-base balance b₃y⻠all of the following except:
Correct Answer: C
Rationale: The lungs help regulate acid-base balance primarily by controlling carbon dioxide levels through ventilation. When carbon dioxide levels increase in the blood, the lungs increase ventilation to exhale more carbon dioxide and maintain the acid-base balance. Slowing ventilation (Option C) would not help in regulating the acid-base balance as it would lead to a buildup of carbon dioxide in the blood, causing respiratory acidosis. Excreting HCO into the blood (Option A) helps maintain acid-base balance by regulating bicarbonate levels, and increasing ventilation (Option D) is the mechanism through which the lungs primarily adjust acid-base balance.
Question 5 of 5
A client's IV fluid orders for 24 hour's are 1500 ml D5W followed by 1250 ml of NS. The IV tubing has a drop factor of 15 gtt/ml. To administer the required fluids the nurse should set the drip rate at;
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.