ATI RN
ATI Pediatrics Exam 2 Questions
Extract:
A child who has been physically abused by a family member.
Question 1 of 5
A nurse is caring for a child who has been physically abused by a family member. Which of the following statements should the nurse say to the child?
Correct Answer: C
Rationale: Reassuring the child that the abuse is not their fault reduces guilt and shame. Promising secrecy or blaming the family is inappropriate, and discussing with the family may endanger the child.
Extract:
A child with sickle cell anemia.
Question 2 of 5
A nurse is creating a plan of care for a child who has sickle cell anemia. Which of the following interventions should the nurse include in the plan?
Correct Answer: D
Rationale: Observing for hypokalemia is critical due to hemolysis in sickle cell anemia. High fluid intake prevents crises. Meperidine risks neurotoxicity; morphine is preferred. Warm compresses, not cold, aid vasodilation.
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 3 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:
An adolescent with diabetic ketoacidosis (DKA), sodium 139 mEq/L, potassium 5.1 mEq/L, glucose 650 mg/dL, BUN 32 mg/dL, creatinine 1.2 mg/dL.
Question 4 of 5
A nurse is caring for an adolescent who has been diagnosed with diabetic ketoacidosis (DKA). The nurse notes the following: When planning care for this client, the nurse should anticipate a provider's prescription for which of the following?
Correct Answer: A
Rationale: Insulin and fluids treat DKA by lowering glucose and correcting dehydration. Glucagon, bicarbonate, or dextrose/diuretics worsen hyperglycemia or fluid loss.
Extract:
An infant with developmental dysplasia of the hip (DDH) using a Pavlik harness.
Question 5 of 5
A nurse in a provider's office is caring for an infant who has developmental dysplasia of the hip (DDH). The nurse should include which of the following instructions in the teaching plan for the parents about the Pavlik harness?
Correct Answer: C
Rationale: Diapers under the harness ensure proper function. Strap adjustments are provider-only, breastfeeding may disrupt alignment, and removing the harness risks treatment failure.