ATI RN
ATI Pediatrics Exam R37 Questions
Extract:
An infant who has severe dehydration from acute gastroenteritis
Question 1 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:
An infant who has aganglionic megacolon causing decreased motility of part of the intestine
Question 2 of 5
A nurse is caring for an infant who has aganglionic megacolon causing decreased motility of part of the intestine. The nurse should identify this finding of mechanical obstruction as a manifestation of which of the following disorders?
Correct Answer: C
Rationale: Hirschsprung's disease, characterized by absent ganglion cells in the large intestine, causes decreased motility and mechanical obstruction, leading to aganglionic megacolon.
Extract:
A 3-year-old child who has had 160 mL of urine output over the past 8 hr period and weighs 33 lb
Question 3 of 5
A nurse is caring for a 3-year-old child who has had 160 mL of urine output over the past 8 hr period. The child weighs 33 lb. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The child's urine output (160 mL/8 hr =~ 20 mL/hr) is above the expected 1 mL/kg/hr (33 lb = 15 kg, so ~20 mL/hr is okay).
Extract:
A male infant who has a palpable, sausage-shaped mass in the upper right quadrant and stools mixed with blood and mucus
Question 4 of 5
A nurse is caring for a male infant who has a palpable, sausage-shaped mass in the upper right quadrant and stools mixed with blood and mucus. The nurse should recognize that which of the following diagnoses is associated with these findings?
Correct Answer: A
Rationale: Intussusception is characterized by a palpable, sausage-shaped mass and bloody, mucus-filled stools due to telescoping of the intestine, causing obstruction.
Extract:
A child with symptoms of anaphylactic shock
Question 5 of 5
A child is brought to the emergency room with symptoms of anaphylactic shock. Which of the following cues would be most indicative of anaphylactic shock?
Correct Answer: B
Rationale: Wheezing and difficulty breathing are hallmark signs of anaphylactic shock due to airway constriction and bronchoconstriction, posing an immediate threat to life.