ATI RN
ATI Pediatrics Exam R37 Questions
Extract:
A child who has acute gastroenteritis but is able to tolerate oral fluids
Question 1 of 5
A nurse is caring for a child who has acute gastroenteritis but is able to tolerate oral fluids. The nurse should anticipate providing which of the following types of fluid?
Correct Answer: D
Rationale: Oral rehydration solution is specifically formulated to replace lost fluids and electrolytes, making it the recommended fluid for children with acute gastroenteritis. Broth, water, and diluted apple juice do not adequately replace electrolytes.
Extract:
An infant who has severe dehydration from acute gastroenteritis
Question 2 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 3 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 6-week-old infant who has a pyloric stenosis
Question 4 of 5
A nurse is caring for a 6-week-old infant who has a pyloric stenosis. Which of the following clinical manifestations should the nurse expect?
Correct Answer: C
Rationale: Projectile vomiting, especially after feeding, is a classic sign of pyloric stenosis due to the obstruction at the stomach outlet.
Extract:
An infant following surgical repair of omphalocele
Question 5 of 5
A nurse is caring for an infant following surgical repair of omphalocele. What is the nurse's priority?
Correct Answer: B
Rationale: Assessing the surgical site for signs of infection is crucial to prevent complications and ensure proper healing post-omphalocele repair, prioritizing this over other actions.