ATI RN
ATI Pediatrics Exam 2 Questions
Extract:
A child with a new diagnosis of diabetes mellitus.
Question 1 of 5
A nurse is providing discharge teaching to the parents of a child who has a new diagnosis of diabetes mellitus. Which of the following statements by the parents indicates an understanding of the teaching?
Correct Answer: B
Rationale: Feeling shaky is a common hypoglycemia symptom, indicating understanding. Hypoglycemia onset is rapid, not slow. Sweating occurs with hypoglycemia, not hyperglycemia. Nausea and vomiting are linked to hyperglycemia or ketoacidosis.
Extract:
A preschool-age child who is a picky eater.
Question 2 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: Adding 100% fruit juice (4-6 oz daily) boosts vitamin intake. Quality trumps quantity, appetite decreases in preschoolers, and staying at the table may create negative associations.
Extract:
An adolescent with diabetic ketoacidosis (DKA), sodium 139 mEq/L, potassium 5.1 mEq/L, glucose 650 mg/dL, BUN 32 mg/dL, creatinine 1.2 mg/dL.
Question 3 of 5
A nurse is caring for an adolescent who has been diagnosed with diabetic ketoacidosis (DKA). The nurse notes the following: When planning care for this client, the nurse should anticipate a provider's prescription for which of the following?
Correct Answer: A
Rationale: Insulin and fluids treat DKA by lowering glucose and correcting dehydration. Glucagon, bicarbonate, or dextrose/diuretics worsen hyperglycemia or fluid loss.
Extract:
A school-age child with blood glucose level of 280 mg/dL.
Question 4 of 5
A nurse is assessing a school-age child whose blood glucose level is 280 mg/dL. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Hyperglycemia (280 mg/dL) causes lethargy due to dehydration and brain dysfunction. Tremors and pallor are linked to hypoglycemia, and shallow respirations are not typical.
Extract:
An 18-month-old toddler in the emergency department with high fever, irritability, red eyes, dry lips, strawberry tongue, swollen hands and feet, rash, and enlarged lymph node.
Question 5 of 5
A nurse is caring for an 18-month-old toddler in the emergency department. The nurse reviews the toddler's medical record and assessment findings. Which of the following provider prescriptions should the nurse anticipate?
Correct Answer: A
Rationale: Intravenous immunoglobulin is used for Kawasaki disease, indicated by the toddler's symptoms like fever, red eyes, and rash. It reduces complications like coronary artery aneurysms. Acyclovir treats viral infections, not relevant here. Penicillin is for bacterial infections, not indicated. Hydrocortisone is for skin conditions, not effective for Kawasaki rash.