ATI RN
ATI Pediatrics Exam 2 Questions
Extract:
A child with celiac disease.
Question 1 of 5
A nurse is providing teaching to a parent of a child who has celiac disease. The nurse should include which of the following food choices for this child?
Correct Answer: A
Rationale: Rice is gluten-free and safe for celiac disease, unlike rye, wheat, and barley, which contain gluten and can damage the small intestine, causing symptoms like diarrhea and weight loss.
Extract:
A 3-year-old child with 160 mL urine output over 8 hr, weighs 33 lb.
Question 2 of 5
A nurse is caring for a 3-year-old child who has had 160 mL of urine output over the past 8 hr period. The child weighs 33 lb. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The child's urine output (20 mL/hr) is below the expected 30-40 mL/hr, suggesting dehydration. Providing oral rehydration fluids addresses this. Monitoring alone delays intervention. A bladder scan is not the first step, as retention is unlikely. Notifying the provider comes after initial fluid administration and assessment.
Extract:
A toddler with heart failure.
Question 3 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: Orthopnea, difficulty breathing when lying flat, is expected in heart failure. Weight gain, tachycardia, and decreased urine output are typical, not the opposites.
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:
A 5-month-old infant scheduled for a lumbar puncture to rule out meningitis.
Question 5 of 5
A nurse is planning care for a 5-month-old infant who is scheduled for a lumbar puncture to rule out meningitis. Which of the following actions should the nurse include in the plan of care?
Correct Answer: D
Rationale:
Topical lidocaine/prilocaine reduces pain during lumbar puncture. The described position risks spinal injury, infant seats increase intracranial pressure, and 6-hour NPO is excessive.