ATI RN
ATI Pediatrics Test Bank Questions
Question 1 of 5
which of the following is the primary objective of care for the child with nephrosis?
Correct Answer: B
Rationale: The primary objective of care for a child with nephrosis, also known as nephrotic syndrome, is to reduce the excretion of urinary protein. Nephrosis is a condition characterized by excessive loss of protein through the urine, leading to hypoalbuminemia and edema. By reducing the excretion of urinary protein, healthcare providers aim to minimize protein loss and improve the child's nutritional status and overall health. This can be achieved through medications such as corticosteroids, diuretics, and other treatments that help to decrease proteinuria and manage symptoms associated with nephrosis. Additionally, dietary modifications and monitoring for complications such as infection and thrombosis are important aspects of care for children with nephrosis.
Question 2 of 5
What term describes irregular areas of deep blue pigmentation seen predominantly in newborns of African, Asian, Native American, or Hispanic descent?
Correct Answer: C
Rationale: Mongolian spots are irregular areas of deep blue pigmentation commonly seen in newborns of African, Asian, Native American, or Hispanic descent. They are flat, benign, and usually appear on the lower back or buttocks, but can also occur on other parts of the body. Mongolian spots are caused by pigment that is trapped deep in the layers of the skin and tend to fade over time, usually by the age of 5 or 6, although they may persist into adulthood in some cases. It is important for healthcare providers to be aware of Mongolian spots to differentiate them from other skin conditions and provide reassurance to parents.
Question 3 of 5
A nurse is performing a gestational age assessment on a newborn. The nurse determines that the newborn is "term" if which findings are assessed? (Select all that apply.)
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
The school nurse is conducting a class for school-age children on Lyme disease. Which is characteristic of Lyme disease?
Correct Answer: C
Rationale: Lyme disease is caused by a spirochete bacterium called Borrelia burgdorferi, which enters the skin through the bite of an infected deer tick. It is primarily transmitted to humans through the bite of infected black-legged ticks, commonly known as deer ticks. These ticks carry the bacterium in their gut and can transmit it to humans when they feed on blood. Therefore, Lyme disease is characterized by being caused by a spirochete that enters the skin through a tick bite. Option C is the correct answer in this case, as options A, B, and D do not accurately describe the characteristics of Lyme disease.
Question 5 of 5
A nurse is assessing a child with kwashiorkor disease. Which assessment findings should the nurse expect?
Correct Answer: A
Rationale: Kwashiorkor is a form of severe acute malnutrition characterized by a deficiency in protein intake, leading to a protein-energy malnutrition. One of the hallmark signs of kwashiorkor is an enlarged, protruding abdomen due to fluid retention in the tissues (edema), giving the appearance of a swollen belly. Additionally, individuals with kwashiorkor often have thin, wasted extremities while their abdomen appears disproportionately distended. This is known as the "big belly, skinny limbs" presentation, which arises due to the imbalance of protein and energy intake. Therefore, the nurse assessing a child with kwashiorkor should expect to find thin wasted extremities with a prominent abdomen.