ATI RN
ATI Pediatrics Exam R37 Questions
Extract:
A child who has Hirschsprung disease is scheduled for initial surgery
Question 1 of 5
A nurse is providing teaching to a parent of a child who has Hirschsprung disease is scheduled for initial surgery. Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A: "I'm glad that my child's ostomy is only temporary." This statement indicates an understanding of the teaching because in Hirschsprung disease surgery, an ostomy is often created temporarily to allow the affected portion of the bowel to heal before being reconnected. This shows that the parent comprehends that the ostomy is not permanent.
Incorrect choices:
B: This statement does not address the temporary nature of the ostomy or the specifics of the surgery.
C: This statement indicates a misunderstanding as bowel movements may not immediately be normal post-surgery.
D: This statement is incorrect as follow-up visits are usually necessary for monitoring and management post-surgery.
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: B
Rationale:
Correct
Answer: B - "I will keep my baby in an upright position after feedings."
Rationale: Keeping the baby upright after feedings helps prevent reflux by allowing gravity to keep stomach contents down. This position reduces the likelihood of regurgitation and discomfort for the infant. Other choices are incorrect: A may increase the risk of aspiration, C is not necessary as both breast milk and formula can be used, and D is not recommended as thickening formula with oatmeal can be a choking hazard for infants.
Question 3 of 5
A nurse is caring for an infant who has gastroesophageal reflux. The nurse should place the infant in which of the following positions following feedings?
Correct Answer: D
Rationale: The correct answer is D: Place the infant in an infant seat. This position helps reduce gastroesophageal reflux by keeping the infant in an upright position, allowing gravity to assist in keeping stomach contents down. Placing the infant on the left or right side may not be as effective in preventing reflux. Placing the infant in a prone position can increase the risk of choking or aspiration.
Therefore, placing the infant in an infant seat is the most appropriate position to manage gastroesophageal reflux in this scenario.
Extract:
Question 4 of 5
Which of the following is a risk factor for acute glomerulonephritis?
Correct Answer: B
Rationale: The correct answer is B: Recent streptococcal infection. Acute glomerulonephritis is often triggered by an immune response to a streptococcal infection. The bacteria's antigens can cross-react with glomerular antigens, leading to inflammation and damage to the kidneys. Genetic predisposition (
A) may play a role in susceptibility, but the immediate trigger is the infection. High blood pressure (
C) can be a consequence of glomerulonephritis, not a risk factor. Excessive fluid consumption (
D) is not directly linked to the development of acute glomerulonephritis.
Extract:
A child with symptoms of anaphylactic shock
Question 5 of 5
A child is brought to the emergency room with symptoms of anaphylactic shock. Which of the following cues would be most indicative of anaphylactic shock?
Correct Answer: B
Rationale: The correct answer is B: Wheezing and difficulty breathing. In anaphylactic shock, the body has a severe allergic reaction, leading to airway constriction and difficulty breathing. Wheezing is caused by the narrowing of the air passages. This is a critical sign of anaphylactic shock as it indicates a potential life-threatening situation requiring immediate intervention, such as administering epinephrine. The other choices are not specific to anaphylactic shock. Nausea and vomiting (
A) can occur but are not unique to anaphylaxis. Fever and chills (
C) are more likely indicative of an infection. Hives and itching (
D) are common symptoms of an allergic reaction but may not always accompany anaphylactic shock.