ATI RN
ATI Pediatrics Exam 2 Questions
Extract:
A child with mumps.
Question 1 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: The correct answer is A: Initiate droplet precautions. Mumps is spread through respiratory droplets, so initiating droplet precautions is crucial to prevent the spread of the infection. This includes wearing a mask and placing the child in a private room. Airborne precautions (
B) are not necessary for mumps. Contact precautions (
C) are used for diseases spread by direct contact, not through respiratory droplets like mumps. Standard precautions (
D) are important but do not specifically address the mode of transmission for mumps.
Extract:
A mother immediately following a stillbirth delivery.
Question 2 of 5
A nurse is providing care to a mother immediately following a stillbirth delivery. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: The correct answer is C: Offer the mother private time with the newborn. This is the first action the nurse should take to provide emotional support and allow the mother to grieve and bond with her stillborn baby. Administering alprazolam (
A) is not appropriate as it is a medication for anxiety and not the priority in this situation. Contacting the health care facility's clergy (
B) may be helpful for spiritual support but not the first action. Assisting the client with transferring to the gynecology unit (
D) is important but not as immediate as providing emotional support to the mother.
Extract:
A toddler with heart failure.
Question 3 of 5
A nurse is assessing a toddler who has heart failure. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Orthopnea. In heart failure, fluid accumulates in the lungs when lying flat, causing difficulty breathing (orthopnea). Weight loss (
A) is unlikely due to fluid retention. Bradycardia (
B) is not typical in heart failure; tachycardia is more common. Increased urine output (
C) is not expected as the kidneys retain fluid to compensate. In heart failure, the heart is unable to pump effectively, leading to fluid accumulation and orthopnea.
Extract:
A 6-month-old infant being measured for length and weight.
Question 4 of 5
A nurse is obtaining the length and weight of a 6-month-old infant. Which of the following actions should the nurse take? (Select all that apply.)
Correct Answer: A,C,E
Rationale:
Correct
Answer: A, C, E
Rationale:
A: Balancing the scale to 0 prior to use ensures accurate weight measurement.
C: Placing a disposable covering on the scale maintains cleanliness and prevents cross-contamination.
E: Measuring the infant from crown of the head to the heels of the feet ensures accurate length measurement.
Incorrect choices:
B: Using a stadiometer is not appropriate for measuring an infant's weight.
D: Weighing the infant in a diaper may introduce variability due to different diaper weights.
F:
G:
Extract:
An infant who is dehydrated.
Question 5 of 5
A nurse in an emergency department is assessing an infant who is dehydrated. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale:
Correct
Answer: D - Irritability
Rationale: Dehydration in infants can lead to irritability due to decreased fluid intake and electrolyte imbalance, causing discomfort and agitation. This is a common behavioral response in dehydrated infants. Tetany (
A) is not a typical finding in dehydration but may occur in severe electrolyte imbalances. A slow, bounding pulse (
B) is more indicative of fluid overload rather than dehydration. Decreased temperature (
C) is not a common finding in dehydration unless severe. Other choices are not directly related to dehydration in infants.