ATI RN
Pediatric Nursing Practice Questions Questions
Question 1 of 5
You are treating a 10-month-old child with failure to thrive. Of the following, the minimal accepted catch-up weight gain is about
Correct Answer: B
Rationale: Catch-up weight gain of 20-30 gm/kg/day is considered the minimum acceptable rate for children recovering from failure to thrive. Lower rates indicate insufficient progress, while higher rates may reflect excessive caloric intake.
Question 2 of 5
All the following are recognized features of 'well-controlled' asthma in a 7-year-old boy EXCEPT
Correct Answer: D
Rationale: More than 2 exacerbations per year suggest suboptimal asthma control, requiring reassessment of management strategies.
Question 3 of 5
A child has just been unexpectedly admitted to the intensive care unit after abdominal surgery. The nursing staff has completed the admission process, and the child's condition is beginning to stabilize. When speaking with the parents, the nurses should expect which stressors to be evident? (Select all that apply.)
Correct Answer: A
Rationale: Unfamiliar environment: The child being in the intensive care unit is likely in an unfamiliar environment, which can be a significant stressor for both the child and the parents. The sights, sounds, and equipment in an ICU can be overwhelming and anxiety-provoking for families.
Question 4 of 5
Management of hypercalcemia includes all of the following actions except administration of:
Correct Answer: B
Rationale: While furosemide can increase calcium excretion through the kidneys, it may also exacerbate volume depletion and potentially lead to further increase in serum calcium levels. Therefore, administration of furosemide without proper saline or fluid replacement should be avoided in the management of hypercalcemia. The other options mentioned, such as giving fluids to dilute calcium levels, using inorganic phosphate salts, and providing intravenous phosphate therapy, are all appropriate measures in treating hypercalcemia.
Question 5 of 5
The nurse is aware that a neonate of a mother with diabetes is at risk for what complication?
Correct Answer: B
Rationale: Neonates born to mothers with diabetes are at risk for hypoglycemia due to their exposure to high blood glucose levels in the womb. During pregnancy, the baby's pancreas produces extra insulin to handle the excess glucose from the mother, but after birth, there may be a sudden drop in blood glucose levels in the baby, leading to hypoglycemia. It is important to monitor blood glucose levels closely in these neonates and provide appropriate interventions to prevent and manage hypoglycemia. Anemia, nitrogen loss, and thrombosis are not typically associated with neonates of mothers with diabetes.