ATI RN
ATI Pediatric Exam 3 Questions
Extract:
An adolescent who has scoliosis and requires surgical intervention
Question 1 of 4
A nurse is planning care for an adolescent who has scoliosis and requires surgical intervention. Which of the following behaviors by the adolescent should the nurse anticipate because it is the most common reaction?
Correct Answer: A
Rationale: The correct answer is A: Body image changes. Adolescents with scoliosis often experience body image concerns due to the visible spinal curvature. This is the most common reaction as it affects their self-esteem and perception of themselves.
Choice B, feelings of displacement, may occur but are not as common as body image changes.
Choice C, loss of privacy, and choice D, identity crisis, are less likely reactions compared to the impact on body image. In summary, body image changes are the primary concern for adolescents with scoliosis undergoing surgical intervention.
Extract:
Four children
Question 2 of 4
A nurse is reviewing data for four children. Which of the following children should the nurse assess first?
Correct Answer: A
Rationale: The correct answer is A. The nurse should assess the 10-year-old child with sickle cell anemia experiencing severe chest pain first because chest pain can be a symptom of a serious complication such as a vaso-occlusive crisis or acute chest syndrome, which can be life-threatening in sickle cell patients. Assessing and managing the chest pain promptly is crucial to prevent further complications.
Choices B, C, and D do not present immediate life-threatening conditions that require urgent assessment compared to severe chest pain in a child with sickle cell anemia.
Extract:
A child has pediculosis capitis
Question 3 of 4
A school nurse identifies that a child has pediculosis capitis and educates the child's parents about the condition. Which of the following statements by the parents indicates an understanding of the teaching?
Correct Answer: C
Rationale:
Correct
Answer: C
Rationale: Washing recently used clothing, bedding, and towels in hot water is important to kill lice and nits. This step is crucial in preventing re-infestation. It shows understanding of the importance of thorough cleaning to eliminate the spread of pediculosis capitis.
Summary of other choices:
A: Incorrect. It is not necessary to throw out toys that cannot be washed. They can be treated by sealing them in a plastic bag for 2 weeks.
B: Incorrect. Nits should be removed from the hair to prevent re-infestation.
D: Incorrect. Treating all family members may not be necessary if they do not have lice. Over-treating can lead to resistance to treatment.
Extract:
A child who has nephrotic syndrome
Question 4 of 4
A nurse is assessing a child who has nephrotic syndrome. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Facial edema. In nephrotic syndrome, there is excessive protein loss in the urine, leading to hypoalbuminemia and decreased plasma oncotic pressure, resulting in fluid shifting into the interstitial spaces, particularly in dependent areas like the face. Polyuria (
A) is not typically a common finding. Smoky brown urine (
B) is more indicative of conditions like acute tubular necrosis. Hypertension (
C) is not a typical finding in nephrotic syndrome.
Therefore, facial edema (
D) is the most expected finding due to the underlying pathophysiology of nephrotic syndrome.
Extract:
A child who is experiencing a seizure
Question 5 of 4
A nurse is caring for a child who is experiencing a seizure. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct action is D: Position the child laterally. This is the correct choice because it helps prevent aspiration and maintains an open airway during the seizure. Placing the child on their side also reduces the risk of injury. Restrain the child's arms (
A) is incorrect as it can lead to injury. Using a padded tongue blade (
B) is unnecessary and could potentially harm the child. Attempting to stop the seizure (
C) is not within the nurse's control and can be dangerous. The correct choice, positioning the child laterally (
D), is the safest and most appropriate action to take during a seizure.