ATI RN
ATI Pediatrics Exam 2 Questions
Extract:
An adolescent in the ED with high fever, headache, neck stiffness, CSF analysis: WBC count 300 cells/microliter, protein 45 mg/dL, glucose 40 mg/dL, turbid color.
Question 1 of 5
A nurse is caring for an adolescent who was brought to the emergency department (ED) with a high fever, headache, and neck stiffness. The nurse reviews the adolescent's cerebrospinal fluid (CSF) analysis results and notes the following: - WBC count 300 cells/microliter (normal range: 0 to 10 cells/microliter) - Protein 45 mg/dL (normal range: 15 to 45 mg/dL) - Glucose 40 mg/dL (normal range: 50 to 75 mg/dL) - Color Turbid (normal: clear and colorless) The nurse should suspect that the adolescent has which of the following conditions?
Correct Answer: A
Rationale: Bacterial meningitis is indicated by fever, headache, neck stiffness, and CSF findings (high WBC, low glucose, turbid). It's more severe than viral meningitis. Encephalitis or brain abscess would show focal neurological deficits, not primary CSF changes.
Extract:
Parents of a school-age child at a well-child visit regarding lice.
Question 2 of 5
A nurse is providing teaching about lice to the parents of a school-age child at a well-child visit. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: Avoiding sharing hats prevents lice transmission. Lice survive 24-48 hours off-host, daily washing doesn't prevent lice, and lice crawl, not jump.
Extract:
A 4-month-old infant post-cardiac catheterization with a pressure dressing to the right femoral area.
Question 3 of 5
A nurse is providing teaching to the parent of a 4-month-old infant who had a cardiac catheterization. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Acetaminophen relieves post-catheterization discomfort. Tub baths risk infection, and keeping the child home for a week is unnecessary.
Extract:
A 5-month-old infant scheduled for a lumbar puncture to rule out meningitis.
Question 4 of 5
A nurse is planning care for a 5-month-old infant who is scheduled for a lumbar puncture to rule out meningitis. Which of the following actions should the nurse include in the plan of care?
Correct Answer: D
Rationale:
Topical lidocaine/prilocaine reduces pain during lumbar puncture. The described position risks spinal injury, infant seats increase intracranial pressure, and 6-hour NPO is excessive.
Extract:
A child with sickle cell anemia.
Question 5 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.