ATI RN
ATI Pediatrics Exam 2 Questions
Extract:
A child with Addison's disease.
Question 1 of 5
A nurse is caring for a child who has Addison's disease. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Cortisol replacement therapy is essential for Addison's disease to manage adrenal insufficiency. Low-sodium diets worsen fluid balance; hypoglycemia, not hyperglycemia, is a risk; fluid deficit, not excess, is typical.
Extract:
School-age boys.
Question 2 of 5
A nurse is developing a health program for the parents of school-age boys. Which of the following information about pubescent changes should the nurse include in the program?
Correct Answer: B
Rationale: Growth spurts occur in mid-puberty, correct. Voice changes are mid-to-late puberty. Delayed puberty is diagnosed at 14, not 11. Gynecomastia occurs early-to-mid puberty.
Extract:
A toddler with a fractured right femur in Bryant traction.
Question 3 of 5
A nurse is caring for a toddler who has a fractured right femur and is in Bryant traction. When determining that the traction is appropriately assembled, the nurse should observe which of the following?
Correct Answer: D
Rationale: Bryant traction elevates the buttocks slightly for countertraction and alignment, using skin straps, not pins or slings, with hips/knees at 90 degrees.
Extract:
A 5-month-old infant scheduled for a lumbar puncture to rule out meningitis.
Question 4 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.
Extract:
A school-age child with full-thickness burns to 30% of the total body surface area (TBSA).
Question 5 of 5
A nurse is caring for a school-age child who has full-thickness burns to 30% of the total body surface area (TBSA). The nurse is initiating the client's plan of care. Complete the following sentence by using the list of options. The client is at highest risk for developing __, evidenced by the client's __.
Correct Answer: A,E
Rationale: Hypovolemia from fluid loss is a high risk in burns, evidenced by decreased urine output. Administer fluids to maintain output. Other conditions are risks but secondary.