ATI RN
ATI Pediatrics Exam 2 Questions
Extract:
A school-age child with full-thickness burns to 30% of the total body surface area (TBSA).
Question 1 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.
Extract:
An adolescent with blood glucose level of 55 mg/dL, feeling shaky, trouble focusing.
Question 2 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 red marks across his cheeks.
Question 3 of 5
A nurse is caring for a child who has red marks across his cheeks. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Red cheek marks suggest fifth disease, which may spread to the body. Assessing for rash confirms this. Abuse referral or questioning parents is premature; temperature is nonspecific.
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 4 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:
A 3-year-old child admitted with acute diarrhea and dehydration.
Question 5 of 5
A nurse is caring for a 3-year-old child who was admitted with acute diarrhea and dehydration. Which of the following findings indicates that oral rehydration therapy has been effective?
Correct Answer: C
Rationale: Urine specific gravity of 1.015 indicates normal hydration, showing effective rehydration. Normal respiratory rate, high heart rate, and delayed capillary refill are less specific.