ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
Toddlers receiving digoxin therapy
Question 1 of 5
A nurse is caring for a group of toddlers receiving digoxin therapy. For which of the following toddlers should the nurse revise the plan of care?
Correct Answer: D
Rationale: The correct answer is D. Vomiting can lead to reduced absorption of digoxin, affecting its therapeutic effect. This can result in suboptimal treatment and potential toxicity. Monitoring for vomiting is crucial when administering digoxin.
Choices A, B, and C indicate normal findings within the expected range for a toddler receiving digoxin therapy, so no revision is needed for those.
Extract:
Preschool-age child with celiac disease
Question 2 of 5
A nurse is providing teaching to the parents of a preschool-age child who has celiac disease. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: "Your child will be on a gluten-free diet for the rest of her life." Celiac disease is a lifelong autoimmune condition where the body reacts to gluten. Removing gluten from the diet is the only treatment.
Choice A is incorrect because celiac disease requires a gluten-free diet, not low-protein.
Choice B is incorrect as high-fiber diets may worsen symptoms in some cases.
Choice C is incorrect because wheat flour contains gluten, which should be avoided.
Extract:
Question 3 of 5
A nurse is performing an assessment for a 5-year-old child who has celiac disease. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Steatorrhea. In celiac disease, the small intestine is damaged, leading to malabsorption of fats. Steatorrhea is a classic finding characterized by bulky, greasy, foul-smelling stools due to undigested fat. This occurs because the damaged intestine is unable to absorb fats properly. The other choices are incorrect because:
A) Sausage-shaped mass in the upper right abdomen is suggestive of constipation or fecal impaction;
B) Red-currant, jelly-like stools are seen in intussusception;
C) Hematemesis is vomiting of blood, which is not typically associated with celiac disease.
Extract:
8-year-old child recently diagnosed with chronic renal failure
Question 4 of 5
A nurse is caring for an 8-year-old child who was recently diagnosed with chronic renal failure. Which of the following statements should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: Hemodialysis uses an artificial membrane outside the body to clean your child's blood. In hemodialysis, blood is circulated outside the body through a dialyzer with a semipermeable membrane that acts as an artificial kidney to remove waste products. This process mimics the filtration function of the kidneys. Option A is incorrect because hemodialysis does not use an electrolyte solution to clean the blood. Option C is incorrect as hemodialysis does not use the abdominal cavity as a membrane. Option D is incorrect as hemodialysis is not a continuous filtration process.
Extract:
3-month-old infant with diarrhea
Question 5 of 5
A nurse is assessing a 3-month-old infant who has diarrhea. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Increased hematocrit. Diarrhea can lead to dehydration in infants, resulting in a decrease in blood volume and concentration of red blood cells. This can cause an increase in hematocrit levels as the blood becomes more concentrated. Decreased heart rate (choice
A) is not typically associated with diarrhea in infants. Bulging fontanel (choice
B) is a sign of increased intracranial pressure, not related to diarrhea. Polyuria (choice
C) is excessive urination, not typically seen in infants with diarrhea.
Therefore, the correct answer is D as it directly relates to dehydration and the body's compensatory response.