ATI RN
ATI Pediatrics Exam 2 Questions
Extract:
A mother immediately following a stillbirth delivery.
Question 1 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 2 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 3 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 4 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.
Extract:
A preschool-age child who is a picky eater.
Question 5 of 5
A nurse in a pediatric clinic is talking with the mother of a preschool-age child. The mother tells the nurse that her son is a 'picky eater.' Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Add fruit juice to the child's diet to increase vitamin intake. Fruit juice can be a good way to increase a picky eater's intake of essential vitamins and nutrients. Fruit juices are often more appealing to children than whole fruits, making it easier to ensure they get the necessary nutrients. It is important to choose 100% fruit juice with no added sugars.
Choice A is incorrect because emphasizing quantity over quality may lead the child to consume unhealthy foods.
Choice B is incorrect as food consumption may indeed decrease if the child is a picky eater.
Choice D is incorrect as forcing the child to stay at the table after meals can create negative associations with food.