ATI RN
ATI Pediatrics Exam 2 Questions
Extract:
A 3-year-old child admitted with acute diarrhea and dehydration.
Question 1 of 5
A nurse is caring for a 3-year-old child who was admitted with acute diarrhea and dehydration. Which of the following findings indicates that oral rehydration therapy has been effective?
Correct Answer: C
Rationale: Urine specific gravity of 1.015 indicates normal hydration, showing effective rehydration. Normal respiratory rate, high heart rate, and delayed capillary refill are less specific.
Extract:
A preschooler with acute lymphoblastic leukemia (ALL), receiving chemotherapy and steroids, no bowel movement for 5 days, crying and clinging to guardian, temperature of 38.8°C (101.9°F) tympanic, erythematous central line catheter insertion site with purulent drainage.
Question 2 of 5
A nurse on a pediatric unit is preparing to admit a preschooler after receiving a transfer report from a nurse in the emergency department. Which of the following findings should the nurse report to the provider immediately?
Correct Answer: D
Rationale: Erythema and purulent drainage at the central line site suggest infection, risking sepsis in an immunocompromised child. This requires immediate reporting, blood cultures, and antibiotics. Constipation, crying, and fever are concerning but less urgent.
Extract:
A 15-month-old toddler receiving the first MMR immunization.
Question 3 of 5
A nurse is preparing to administer the first measles, mumps, and rubella (MMR) immunization to a 15-month-old toddler. Which of the following findings is a contraindication for this immunization?
Correct Answer: A
Rationale: Congenital immunodeficiency contraindicates the live MMR vaccine due to infection risk. Mild fever, antibiotics, or low-grade illness are not contraindications.
Extract:
A school-age child with a systemic disorder, receiving antibiotics, immunosuppressants, corticosteroids, parents with smoking history, soreness in mouth, white, milky plaque that does not come off.
Question 4 of 5
A nurse is caring for a school-age child who has a systemic disorder and is receiving antibiotics, immunosuppressants, and corticosteroids. Both of the child's parents have a smoking history. The child reports soreness in his mouth and refuses to eat. Inspection of his mouth reveals a white, milky plaque that does not come off with rubbing. The nurse should suspect which of the following conditions?
Correct Answer: D
Rationale: Candidiasis (oral thrush) is likely due to immunosuppression from medications, causing white plaque. Herpes simplex causes blisters, dermatitis affects skin, and squamous cell carcinoma causes ulcerated growths, none matching the description.
Extract:
A child with celiac disease.
Question 5 of 5
A nurse is providing teaching to a parent of a child who has celiac disease. The nurse should include which of the following food choices for this child?
Correct Answer: A
Rationale: Rice is gluten-free and safe for celiac disease, unlike rye, wheat, and barley, which contain gluten and can damage the small intestine, causing symptoms like diarrhea and weight loss.