ATI RN
ATI Pediatrics Exam 2 Questions
Extract:
A 6-month-old infant at a well-child visit.
Question 1 of 5
A nurse is assessing a 6-month-old infant at a well-child visit. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The posterior fontanel closes by 2-4 months, expected at 6 months. Incisors erupt later, sitting without support varies, and pincer grasp develops at 9-12 months.
Extract:
A 3-year-old child with 160 mL urine output over 8 hr, weighs 33 lb.
Question 2 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: C
Rationale: The child's urine output (20 mL/hr) is below the expected 30-40 mL/hr, suggesting dehydration. Providing oral rehydration fluids addresses this. Monitoring alone delays intervention. A bladder scan is not the first step, as retention is unlikely. Notifying the provider comes after initial fluid administration and assessment.
Extract:
A preschooler receiving a vaccine.
Question 3 of 5
A nurse is preparing to administer a vaccine into the deltoid muscle of a preschooler. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: A 1.8 mm needle is appropriate for a preschooler's deltoid. A 20-gauge needle is too large, the injection site is lower, and a 90-degree angle is used for intramuscular injections.
Extract:
An adolescent with spina bifida, paralyzed from the waist down.
Question 4 of 5
A nurse is caring for an adolescent who has spina bifida and is paralyzed from the waist down. Which of the following statements by the client should indicate to the nurse a need for further teaching?
Correct Answer: D
Rationale: Catheterizing only twice daily risks urinary retention and infection; 4-6 hourly is needed. Exercises, hydration, and bowel management are appropriate.
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.