ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
3-month-old infant with diarrhea
Question 1 of 5
A nurse is assessing a 3-month-old infant who has diarrhea. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Increased hematocrit. Diarrhea can lead to dehydration in infants, resulting in a decrease in blood volume and concentration of red blood cells. This can cause an increase in hematocrit levels as the blood becomes more concentrated. Decreased heart rate (choice
A) is not typically associated with diarrhea in infants. Bulging fontanel (choice
B) is a sign of increased intracranial pressure, not related to diarrhea. Polyuria (choice
C) is excessive urination, not typically seen in infants with diarrhea.
Therefore, the correct answer is D as it directly relates to dehydration and the body's compensatory response.
Extract:
Question 2 of 5
A nurse is providing teaching about home care to the parent of a child who has scabies. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale:
Correct Answer: B
Rationale: Treating close contacts is crucial to prevent scabies transmission. Scabies is highly contagious, easily spread through close contact. Treating only the affected child may result in reinfestation.
Therefore, instructing the parent to treat everyone who came into close contact with the child is essential to eradicate scabies.
Summary:
A: Soaking combs and brushes in boiling water is not necessary for scabies treatment.
C: Applying petroleum jelly does not effectively treat scabies.
D: Washing hair with ketoconazole shampoo is not the primary treatment for scabies.
Therefore, choices A, C, and D are incorrect for scabies home care.
Extract:
Toddler after orchiopexy procedure
Question 3 of 5
A nurse is providing education to the parents of a toddler who is being discharged after an orchiopexy procedure. Which of the following statements indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A because it shows understanding of the post-operative care instructions following an orchiopexy procedure. Restricting straddling activities for 2 weeks helps prevent stress on the surgical area, promoting healing.
Choice B is incorrect as resuming all physical activities too soon can lead to complications.
Choice C is incorrect as the procedure does not eliminate the risk of fertility issues.
Choice D is incorrect because pain medications may be needed post-operatively.
Extract:
Child for a lumbar puncture
Question 4 of 5
A nurse is preparing a child for a lumbar puncture. In which of the following positions should the child be placed for the procedure?
Correct Answer: B
Rationale: The correct answer is B: Lateral. Placing the child in a lateral position helps to widen the spaces between the vertebrae, making it easier to access the lumbar region. This position also reduces the risk of nerve damage during the procedure. Placing the child prone (
A) or supine (
D) would not provide the optimal access to the lumbar region. Semi-Fowler's position (
C) is not ideal as it does not provide the necessary alignment of the spine for a lumbar puncture.
Extract:
3-month-old infant with diarrhea
Question 5 of 5
A nurse is assessing a 3-month-old infant who has diarrhea. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Increased hematocrit. Diarrhea can lead to dehydration in infants, resulting in a decrease in blood volume and concentration of red blood cells. This can cause an increase in hematocrit levels as the blood becomes more concentrated. Decreased heart rate (choice
A) is not typically associated with diarrhea in infants. Bulging fontanel (choice
B) is a sign of increased intracranial pressure, not related to diarrhea. Polyuria (choice
C) is excessive urination, not typically seen in infants with diarrhea.
Therefore, the correct answer is D as it directly relates to dehydration and the body's compensatory response.