ATI RN
ATI Pediatrics Exam 2 Questions
Extract:
A child with sickle cell anemia.
Question 1 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.
Extract:
A 5-month-old infant scheduled for a lumbar puncture to rule out meningitis.
Question 2 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 celiac disease.
Question 3 of 5
A nurse is providing teaching to a parent of a child who has celiac disease. The nurse should include which of the following food choices for this child?
Correct Answer: A
Rationale: Rice is gluten-free and safe for celiac disease, unlike rye, wheat, and barley, which contain gluten and can damage the small intestine, causing symptoms like diarrhea and weight loss.
Extract:
A child with red marks across his cheeks.
Question 4 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 school-age child with a new diagnosis of type 1 diabetes mellitus.
Question 5 of 5
A nurse is providing teaching to a school-age child who has a new diagnosis of type 1 diabetes mellitus. Which of the following statements by the child indicates an understanding of the teaching?
Correct Answer: D
Rationale: Eating a snack before exercise prevents hypoglycemia, showing understanding. Insulin is needed when sick, freezing damages insulin, and morning glucose should be 70-110 mg/dL.