ATI RN
ATI Pediatrics Exam 2 Questions
Extract:
An infant with developmental dysplasia of the hip (DDH) using a Pavlik harness.
Question 1 of 5
A nurse in a provider's office is caring for an infant who has developmental dysplasia of the hip (DDH). The nurse should include which of the following instructions when teaching the parents about the Pavlik harness?
Correct Answer: D
Rationale: Placing the diaper under the harness prevents interference with its function. Removing the harness, adjusting straps, or massaging skin risks complications.
Extract:
A 5-month-old infant scheduled for a lumbar puncture to rule out meningitis.
Question 2 of 5
A nurse is planning care for a 5-month-old infant who is scheduled for a lumbar puncture to rule out meningitis. Which of the following actions should the nurse include in the plan of care?
Correct Answer: D
Rationale:
Topical lidocaine/prilocaine reduces pain during lumbar puncture. The described position risks spinal injury, infant seats increase intracranial pressure, and 6-hour NPO is excessive.
Extract:
A child with tonic-clonic seizure disorder, on Phenytoin, with mild exercise-induced asthma.
Question 3 of 5
A nurse in the provider's office is caring for a child who has a history of tonic-clonic seizure disorder. Three months ago, the neurologist changed the child's antiepileptic medications to include Phenytoin due to increasing number of seizures per guardian. The child has a 1-year history of mild exercise-induced asthma for which they were prescribed a rescue inhaler of albuterol prn. The client is at risk for developing __ due to __.
Correct Answer: A,E
Rationale: Gingival hyperplasia is a common Phenytoin side effect. Albuterol doesn't cause hypoglycemia, exercise may trigger seizures but not status epilepticus routinely, and Phenytoin doesn't cause bronchospasm.
Extract:
A 12-month-old infant receiving IV antibiotic therapy.
Question 4 of 5
A nurse is preparing to initiate intravenous (IV) antibiotic therapy for a newly admitted 12-month-old infant. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: A 24-gauge catheter suits an infant's small veins. Foot IVs risk dislodgement, transparent dressings allow monitoring, and IV sites are changed based on clinical need, not routinely.
Extract:
A 4-month-old infant in the emergency department with fever, irritability, lethargy, bulging fontanel, clear cerebrospinal fluid from lumbar puncture, retinal hemorrhages.
Question 5 of 5
The nurse is caring for a 4-month-old infant in the emergency department. The nurse reviews the infant's medical record and assessment findings. Which of the following conditions should the nurse suspect, and what actions should the nurse take to address that condition, and what parameters should the nurse monitor to assess the infant's progress? The nurse should suspect that the infant has
Correct Answer: A
Rationale: Meningitis is likely due to fever, irritability, lethargy, and bulging fontanel. Actions include administering antibiotics and monitoring vital signs, neurological status, and CSF results. Hydrocephalus, hemorrhage, or sepsis are less likely without specific signs like head enlargement or poor perfusion.