ATI RN
ATI Pediatrics Exam 2 Questions
Extract:
A child with rheumatic fever, parent providing medical history.
Question 1 of 5
A nurse is caring for a child who has rheumatic fever. When obtaining the child's medical history from the parent, the nurse should recognize the significance of which of the following data as the possible source of the child's infection?
Correct Answer: A
Rationale: A recent streptococcal sore throat (sibling) is a likely trigger for rheumatic fever, occurring 2-4 weeks prior. Chickenpox, fifth disease, and gastritis are unrelated.
Extract:
An infant with developmental dysplasia of the hip (DDH) using a Pavlik harness.
Question 2 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: D
Rationale: Checking skin for redness/irritation prevents breakdown. Removing the harness, adjusting straps, or adding clothing risks misalignment or skin issues.
Extract:
An adolescent with blood glucose level of 55 mg/dL, feeling shaky, trouble focusing.
Question 3 of 5
A school nurse is assessing an adolescent who reports feeling shaky and is having trouble focusing and concentrating on the questions. The nurse checks the adolescent's blood glucose level and finds a value of 55 mg/dL. Which of the following findings should the nurse expect? (Select all that apply.)
Correct Answer: B,E
Rationale: Tachycardia and hunger are expected in hypoglycemia (blood glucose 55 mg/dL), driven by sympathetic activation and cellular glucose lack. Polyuria, dry skin, and rapid respirations are linked to hyperglycemia or ketoacidosis.
Extract:
A child with tonic-clonic seizure disorder, on Phenytoin, with mild exercise-induced asthma.
Question 4 of 5
A nurse in the provider's office is caring for a child who has a history of tonic-clonic seizure disorder. Three months ago, the neurologist changed the child's antiepileptic medications to include Phenytoin due to increasing number of seizures per guardian. The child has a 1-year history of mild exercise-induced asthma for which they were prescribed a rescue inhaler of albuterol prn. The client is at risk for developing __ due to __.
Correct Answer: A,E
Rationale: Gingival hyperplasia is a common Phenytoin side effect. Albuterol doesn't cause hypoglycemia, exercise may trigger seizures but not status epilepticus routinely, and Phenytoin doesn't cause bronchospasm.
Extract:
An adolescent in the ED with fever, headache, and neck stiffness.
Question 5 of 5
A nurse is caring for an adolescent who was brought to the emergency department (ED) with a fever, headache, and neck stiffness. The nurse should determine the assessment findings are consistent with which of the following disease processes?
Correct Answer: A
Rationale: Bacterial meningitis matches fever, headache, and neck stiffness, suggesting meningeal inflammation. Encephalitis involves brain tissue with neurological deficits. Gastroenteritis causes GI symptoms. Migraine lacks neck stiffness and CSF changes.