ATI RN
ATI Pediatrics Exam R37 Questions
Extract:
A 13-year-old client who presented with right lower quadrant abdominal pain, nausea, and fever
Question 1 of 5
A nurse in the emergency department (ED) is caring for a 13-year-old client who presented with right lower quadrant abdominal pain, nausea, and fever. The nurse has notified the provider of the client's 0700 assessment data and lab results. Which of the following prescriptions should the nurse anticipate?
Correct Answer: C,D,E,F
Rationale: Maintaining NPO status rests the bowel, acetaminophen manages pain, an abdominal ultrasound confirms appendicitis, and IV antibiotics treat infection, all appropriate for suspected appendicitis.
Extract:
A child who has Hirschsprung disease is scheduled for initial surgery
Question 2 of 5
A nurse is providing teaching to a parent of a child who has Hirschsprung disease is scheduled for initial surgery. Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: A
Rationale: Understanding that the ostomy is temporary indicates correct knowledge of the surgical procedure, which often involves a temporary ostomy followed by further surgeries for Hirschsprung disease.
Extract:
A toddler who is 24 hr postoperative following a cleft palate repair
Question 3 of 5
A nurse is caring for a toddler who is 24 hr postoperative following a cleft palate repair. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Implementing a soft diet minimizes trauma to the surgical site post-cleft palate repair, promoting healing while avoiding disruption of the repair.
Extract:
An infant who has severe dehydration from acute gastroenteritis
Question 4 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: C
Rationale: A weight loss of 13% is indicative of severe dehydration, as it suggests a substantial deficit in fluid volume. A sunken anterior fontanel, not bulging, is typical, bradypnea is unlikely (tachypnea is more common), and a capillary refill of 3 seconds is less specific for severe dehydration.
Extract:
A child who has acute gastroenteritis but is able to tolerate oral fluids
Question 5 of 5
A nurse is caring for a child who has acute gastroenteritis but is able to tolerate oral fluids. The nurse should anticipate providing which of the following types of fluid?
Correct Answer: D
Rationale: Oral rehydration solution is specifically formulated to replace lost fluids and electrolytes, making it the recommended fluid for children with acute gastroenteritis. Broth, water, and diluted apple juice do not adequately replace electrolytes.