ATI RN
ATI Pediatrics Exam NUrs 150 exam 3 Swaml Questions
Extract:
A child who has Hirschsprung disease and is scheduled for initial surgery
Question 1 of 5
A nurse is providing teaching to a parent of a child who has Hirschsprung disease and is scheduled for initial surgery. Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: D
Rationale: The initial surgery for Hirschsprung disease creates a temporary ostomy, closed in a later surgery. Normal bowel movements, feeding tubes, or catheters are not relevant post-surgery.
Extract:
A 10-month-old infant who is 8 hours postoperative following cleft palate repair
Question 2 of 5
A nurse is planning care for a 10-month-old infant who is 8 hours postoperative following cleft palate repair. Which of the following interventions should the nurse include in the infant's plan of care?
Correct Answer: A
Rationale: Applying and releasing elbow restraints every hour prevents the infant from touching or injuring the surgical site while allowing some movement and circulation. Keeping the infant supine increases aspiration risk, feeding with a spoon may cause trauma, and suctioning the mouth can damage the palate.
Extract:
A child who has suspected appendicitis
Question 3 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:
An adult who is experiencing an acute asthma attack
Question 4 of 5
A nurse in an emergency department is caring for an adult who is experiencing an acute asthma attack. Which of the following medications should the nurse expect to administer?
Correct Answer: D
Rationale: Albuterol provides rapid bronchodilation for acute asthma attacks. Montelukast, budesonide, and prednisone are for long-term control or delayed effects.
Extract:
An infant who has a 2-day history of vomiting and an elevated temperature
Question 5 of 5
A nurse in an emergency department is caring for an infant who has a 2-day history of vomiting and an elevated temperature. Which of the following should the nurse recognize as the most reliable indicator of fluid loss?
Correct Answer: B
Rationale: Body weight is the most reliable indicator of fluid loss, reflecting changes in water and electrolytes. Skin, blood pressure, and respiratory rate are less specific.