ATI RN
ATI Pediatrics Exam NUrs 150 exam 3 Swaml Questions
Extract:
A 6-week-old infant who has pyloric stenosis
Question 1 of 5
A nurse is caring for a 6-week-old infant who has pyloric stenosis. Which of the following clinical manifestations should the nurse expect?
Correct Answer: C
Rationale: Projectile vomiting is a hallmark of pyloric stenosis due to pyloric obstruction. Red currant jelly stools indicate intussusception, distended veins suggest cardiac issues, and a bulged abdomen is nonspecific.
Extract:
An infant who is 2 months old, born at 39 2/7 weeks, Apgar 8 and 9, weighed 2.04 kg at birth, fussy, hard to console, vomits 60-90 mL after feeding
Question 2 of 5
A nurse on the pediatric unit is assessing an infant who is 2 months old. The infant was born by spontaneous vaginal delivery at 39 2/7 weeks, Apgar 8 and 9, received regular newborn care and screening, and was discharged home with the mother. The infant weighed 2.04 kg (4 lbs 8 oz) and was 18 inches (45.7 cm) in length at birth. The guardians report that in the last 3 days, the infant has been fussy and hard to console within the first hour after feeding. The infant takes formula and vomits after each feeding, about 60-90 mL (2 to 3 ounces) of partially digested formula. Which of the following conditions is the infant most likely to have?
Correct Answer: A
Rationale: Projectile vomiting, fussiness, and poor weight gain suggest pyloric stenosis, a condition obstructing stomach outflow, common in young infants. Reflux causes milder symptoms, celiac disease involves gluten, and lactose intolerance causes diarrhea.
Extract:
An infant who has severe dehydration from acute gastroenteritis
Question 3 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: A
Rationale: A 13% weight loss indicates severe dehydration from gastroenteritis. Bulging fontanels, bradypnea, and normal capillary refill are not typical.
Extract:
A 1-week-old infant who has a prescription for home oxygen and pulse oximetry monitoring
Question 4 of 5
A nurse is providing teaching to the parents of a 1-week-old infant who has a prescription for home oxygen and pulse oximetry monitoring. Which of the following statements by the parents indicates a need for further teaching?
Correct Answer: C
Rationale: Rotating the probe every 24 hours is unnecessary for continuous monitoring. Movement can affect accuracy, 100% readings are not inherently concerning, and probes can be applied to fingers or toes.
Extract:
A child who has a tracheostomy
Question 5 of 5
A nurse is caring for a child who has a tracheostomy. After suctioning the tracheostomy, which of the following findings should the nurse use to determine that the procedure was effective?
Correct Answer: C
Rationale: Clear breath sounds indicate a patent airway post-suctioning. Respiratory rate, oxygen saturation, and capillary refill are not direct indicators of suctioning success.