ATI RN
ATI Pediatrics Exam 2 Questions
Extract:
An infant who is dehydrated.
Question 1 of 5
A nurse in an emergency department is assessing an infant who is dehydrated. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Irritability is expected in dehydrated infants due to discomfort and thirst. Tetany, slow pulse, or decreased temperature suggest other conditions.
Extract:
A child with celiac disease.
Question 2 of 5
A nurse is providing teaching to a parent of a child who has celiac disease. The nurse should include which of the following food choices for this child?
Correct Answer: A
Rationale: Rice is gluten-free and safe for celiac disease, unlike rye, wheat, and barley, which contain gluten and can damage the small intestine, causing symptoms like diarrhea and weight loss.
Extract:
A child with red marks across his cheeks.
Question 3 of 5
A nurse is caring for a child who has red marks across his cheeks. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Red cheek marks suggest fifth disease, which may spread to the body. Assessing for rash confirms this. Abuse referral or questioning parents is premature; temperature is nonspecific.
Extract:
A preschooler with acute lymphoblastic leukemia (ALL), receiving chemotherapy and steroids, no bowel movement for 5 days, crying and clinging to guardian, temperature of 38.8°C (101.9°F) tympanic, erythematous central line catheter insertion site with purulent drainage.
Question 4 of 5
A nurse on a pediatric unit is preparing to admit a preschooler after receiving a transfer report from a nurse in the emergency department. Which of the following findings should the nurse report to the provider immediately?
Correct Answer: D
Rationale: Erythema and purulent drainage at the central line site suggest infection, risking sepsis in an immunocompromised child. This requires immediate reporting, blood cultures, and antibiotics. Constipation, crying, and fever are concerning but less urgent.
Extract:
A 5-month-old infant scheduled for a lumbar puncture to rule out meningitis.
Question 5 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.