ATI RN
ATI Pediatrics Exam Simmons U BSN Questions
Extract:
A school-age child who has a new diagnosis of type 1 diabetes mellitus
Question 1 of 5
A nurse is providing teaching to a school-age child who has a new diagnosis of type 1 diabetes mellitus. Which of the following statements by the child indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D: "I should eat a snack half an hour before playing soccer." This statement indicates an understanding of the teaching because it shows the child recognizes the importance of managing blood glucose levels before physical activity to prevent hypoglycemia. Eating a snack before playing soccer helps maintain stable blood sugar levels during exercise.
A: Storing unopened bottles of insulin in the freezer is incorrect as insulin should be stored in the refrigerator, not the freezer, to maintain its efficacy.
B: Not taking regular insulin when sick is incorrect as insulin is crucial for managing blood sugar levels, even during illness.
C: Morning blood glucose levels between 90 and 130 are within the target range, but this statement does not demonstrate an understanding of the timing of food intake related to physical activity.
Extract:
A 4-year-old child who has a new diagnosis of diabetes mellitus and is distressed after an insulin injection
Question 2 of 5
Which of the following play activities should the nurse recognize is therapeutic in helping the child deal with the injection?
Correct Answer: C
Rationale: The correct answer is C because using a needleless syringe and a doll allows the child to play out the injection scenario, helping them become more familiar and comfortable with the process. This play activity can reduce fear and anxiety associated with injections.
A: Reading a story book may provide information but does not offer hands-on experience.
B: Playing in the playroom is not specific to addressing the fear of injections.
D: Video games do not directly involve the child in simulating the injection experience.
Extract:
A newborn
Question 3 of 5
We become concerned about the presence of Spina Bifida when we note in our newborn assessment.
Correct Answer: A
Rationale: The correct answer is A because pilonidal dimpling with an abnormal tuft of hair near the dimple is a classic sign of Spina Bifida occulta. This indicates a potential neural tube defect. Complete paralysis (
B) can be a severe consequence of Spina Bifida but is not typically present at birth. Petechiae (
C) are small red or purple spots on the skin due to bleeding and are not specific to Spina Bifida. Abnormal vital signs (
D) can be seen in various conditions and are not specific to Spina Bifida.
Extract:
A school-age child whose blood glucose level is 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: B
Rationale: The correct answer is B: Lethargy. A blood glucose level of 280 mg/dL in a school-age child indicates hyperglycemia, leading to lethargy due to the body's inability to properly utilize glucose for energy. Pallor (choice
A) is not typically associated with high blood glucose levels. Shallow respirations (choice
C) are more commonly seen in conditions like respiratory distress. Tremors (choice
D) are often seen in hypoglycemia, not hyperglycemia.
Therefore, the most appropriate finding to expect with a blood glucose level of 280 mg/dL is lethargy.
Extract:
An 8-month-old infant
Question 5 of 5
A nurse is assessing an 8-month-old infant for cerebral palsy. Which of the following findings is a manifestation of the condition?
Correct Answer: B
Rationale: The correct answer is B because needing support with pillow props for sitting is a manifestation of cerebral palsy due to poor muscle control and coordination.
Choice A is incorrect because the ability to track objects with eyes is a normal developmental milestone.
Choice C, using a pincer grasp, is also normal for an 8-month-old.
Choice D, smiling when a parent appears, is a social and emotional milestone.