ATI RN
ATI Pediatrics Exam NUrs 150 exam 3 Swaml Questions
Extract:
An infant who has a 2-day history of vomiting and an elevated temperature
Question 1 of 5
A nurse in an emergency department is caring for an infant who has a 2-day history of vomiting and an elevated temperature. Which of the following should the nurse recognize as the most reliable indicator of fluid loss?
Correct Answer: B
Rationale: Body weight is the most reliable indicator of fluid loss, reflecting changes in water and electrolytes. Skin, blood pressure, and respiratory rate are less specific.
Extract:
A 6-week-old infant who has pyloric stenosis
Question 2 of 5
A nurse is caring for a 6-week-old infant who has pyloric stenosis. Which of the following clinical manifestations should the nurse expect?
Correct Answer: C
Rationale: Projectile vomiting is a hallmark of pyloric stenosis due to pyloric obstruction. Red currant jelly stools indicate intussusception, distended veins suggest cardiac issues, and a bulged abdomen is nonspecific.
Extract:
A 2-month-old infant who is hungry more than usual but is projectile vomiting immediately after eating
Question 3 of 5
A parent calls a clinic and reports to a nurse that his 2-month-old infant is hungry more than usual but is projectile vomiting immediately after eating. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Projectile vomiting suggests pyloric stenosis, requiring immediate evaluation. Rehydration solutions may worsen dehydration, burping doesn’t address obstruction, and formula changes are irrelevant.
Extract:
A 1-week-old infant who has a prescription for home oxygen and pulse oximetry monitoring
Question 4 of 5
A nurse is providing teaching to the parents of a 1-week-old infant who has a prescription for home oxygen and pulse oximetry monitoring. Which of the following statements by the parents indicates a need for further teaching?
Correct Answer: C
Rationale: Rotating the probe every 24 hours is unnecessary for continuous monitoring. Movement can affect accuracy, 100% readings are not inherently concerning, and probes can be applied to fingers or toes.
Extract:
An infant who has severe dehydration from acute gastroenteritis
Question 5 of 5
A nurse is admitting an infant who has severe dehydration from acute gastroenteritis. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: A 13% weight loss indicates severe dehydration from gastroenteritis. Bulging fontanels, bradypnea, and normal capillary refill are not typical.