ATI RN
ATI Pediatrics Exam 2 Questions
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 1 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:
A 3-year-old child with 160 mL urine output over 8 hr, weighs 33 lb.
Question 2 of 5
A nurse is caring for a 3-year-old child who has had 160 mL of urine output over the past 8 hr period. The child weighs 33 lb. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The child's urine output (20 mL/hr) is below the expected 30-40 mL/hr, suggesting dehydration. Providing oral rehydration fluids addresses this. Monitoring alone delays intervention. A bladder scan is not the first step, as retention is unlikely. Notifying the provider comes after initial fluid administration and assessment.
Extract:
A child with mumps.
Question 3 of 5
A nurse is planning care for a child who has mumps. Which of the following instructions should the nurse include in the plan?
Correct Answer: A
Rationale: Mumps spreads via respiratory droplets, requiring droplet precautions. Airborne, contact, or standard precautions are insufficient or inappropriate.
Extract:
A school-age child with a systemic disorder, receiving antibiotics, immunosuppressants, corticosteroids, parents with smoking history, soreness in mouth, white, milky plaque that does not come off.
Question 4 of 5
A nurse is caring for a school-age child who has a systemic disorder and is receiving antibiotics, immunosuppressants, and corticosteroids. Both of the child's parents have a smoking history. The child reports soreness in his mouth and refuses to eat. Inspection of his mouth reveals a white, milky plaque that does not come off with rubbing. The nurse should suspect which of the following conditions?
Correct Answer: D
Rationale: Candidiasis (oral thrush) is likely due to immunosuppression from medications, causing white plaque. Herpes simplex causes blisters, dermatitis affects skin, and squamous cell carcinoma causes ulcerated growths, none matching the description.
Extract:
A toddler with acute laryngotracheobronchitis in a cool mist tent.
Question 5 of 5
A nurse is caring for a toddler who has acute laryngotracheobronchitis and has been placed in a cool mist tent. Which of the following findings indicates that the treatment has been effective?
Correct Answer: C
Rationale: Decreased stridor indicates reduced airway obstruction, showing treatment effectiveness. Hydration, temperature, and cough are less specific.