ATI RN
ATI Pediatrics Exam R37 Questions
Extract:
An infant who has aganglionic megacolon causing decreased motility of part of the intestine
Question 1 of 5
A nurse is caring for an infant who has aganglionic megacolon causing decreased motility of part of the intestine. The nurse should identify this finding of mechanical obstruction as a manifestation of which of the following disorders?
Correct Answer: C
Rationale: Hirschsprung's disease, characterized by absent ganglion cells in the large intestine, causes decreased motility and mechanical obstruction, leading to aganglionic megacolon.
Extract:
An infant who has severe dehydration from acute gastroenteritis
Question 2 of 5
A nurse is admitting an infant who has severe dehydration from acute gastroenteritis. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: A weight loss of 13% is indicative of severe dehydration, as it suggests a substantial deficit in fluid volume. A sunken anterior fontanel, not bulging, is typical, bradypnea is unlikely (tachypnea is more common), and a capillary refill of 3 seconds is less specific for severe dehydration.
Extract:
A male infant who has a palpable, sausage-shaped mass in the upper right quadrant and stools mixed with blood and mucus
Question 3 of 5
A nurse is caring for a male infant who has a palpable, sausage-shaped mass in the upper right quadrant and stools mixed with blood and mucus. The nurse should recognize that which of the following diagnoses is associated with these findings?
Correct Answer: A
Rationale: Intussusception is characterized by a palpable, sausage-shaped mass and bloody, mucus-filled stools due to telescoping of the intestine, causing obstruction.
Extract:
A child who has acute glomerulonephritis
Question 4 of 5
A nurse is caring for a child who has acute glomerulonephritis. Which of the following actions is the nurse's priority?
Correct Answer: D
Rationale: Checking the child's daily weight is crucial to monitor fluid status and renal function in acute glomerulonephritis, as fluid retention is a common issue that can affect treatment decisions.
Extract:
An infant following an umbilical hernia repair
Question 5 of 5
A nurse is providing discharge teaching to parents of an infant following an umbilical hernia repair. Which of the following should the nurse include in the teaching?
Correct Answer: D
Rationale: Keeping the incision site dry and clean helps prevent infection and promotes healing after umbilical hernia repair, which is essential for recovery.