ATI RN
ATI Pediatrics Exam NUrs 150 exam 3 Swaml Questions
Extract:
A school-aged child who has been hospitalized with gastroenteritis
Question 1 of 5
A nurse is preparing to develop a plan of care for a school-aged child who has been hospitalized with gastroenteritis. Which of the following conditions and client findings should the nurse identify that the child has developed?
Correct Answer: A
Rationale: Vomiting, melena, and weak pulses indicate dehydration and hypovolemic shock from gastroenteritis. Other conditions have distinct symptoms not present here.
Extract:
An infant who has gastroesophageal reflux
Question 2 of 5
A nurse is providing teaching to the parent of an infant who has gastroesophageal reflux. Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: A
Rationale: Keeping the infant upright after feedings uses gravity to reduce reflux. Side-lying increases SIDS risk, thickening formula is secondary, and breast milk is preferred.
Extract:
An infant who is 2 months old, born at 39 2/7 weeks, Apgar 8 and 9, weighed 2.04 kg at birth, fussy, hard to console, vomits 60-90 mL after feeding
Question 3 of 5
A nurse on the pediatric unit is assessing an infant who is 2 months old. The infant was born by spontaneous vaginal delivery at 39 2/7 weeks, Apgar 8 and 9, received regular newborn care and screening, and was discharged home with the mother. The infant weighed 2.04 kg (4 lbs 8 oz) and was 18 inches (45.7 cm) in length at birth. The guardians report that in the last 3 days, the infant has been fussy and hard to console within the first hour after feeding. The infant takes formula and vomits after each feeding, about 60-90 mL (2 to 3 ounces) of partially digested formula. Which of the following conditions is the infant most likely to have?
Correct Answer: A
Rationale: Projectile vomiting, fussiness, and poor weight gain suggest pyloric stenosis, a condition obstructing stomach outflow, common in young infants. Reflux causes milder symptoms, celiac disease involves gluten, and lactose intolerance causes diarrhea.
Extract:
A child who has suspected appendicitis
Question 4 of 5
A nurse is caring for a child who has suspected appendicitis. Which of the following provider prescriptions should the nurse clarify?
Correct Answer: A
Rationale: Sodium biphosphate/sodium phosphate, a laxative, can cause bowel perforation in appendicitis. NPO status, temperature monitoring, and pain medication are appropriate interventions.
Extract:
A 2-month-old infant who is hungry more than usual but is projectile vomiting immediately after eating
Question 5 of 5
A parent calls a clinic and reports to a nurse that his 2-month-old infant is hungry more than usual but is projectile vomiting immediately after eating. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Projectile vomiting suggests pyloric stenosis, requiring immediate evaluation. Rehydration solutions may worsen dehydration, burping doesn’t address obstruction, and formula changes are irrelevant.