ATI RN
ATI Pediatrics Exam R37 Questions
Extract:
An infant who has gastroesophageal reflux
Question 1 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 2 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 3 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 4 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.
Extract:
A toddler who is 24 hr postoperative following a cleft palate repair
Question 5 of 5
A nurse is caring for a toddler who is 24 hr postoperative following a cleft palate repair. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Implement a soft diet. This is appropriate postoperative care for a toddler following a cleft palate repair surgery to ensure that the child can consume food easily without causing trauma to the surgical site. Administering opioids (choice
A) may be necessary for pain management but is not the priority in this situation. Applying bilateral wrist restraints (choice
B) is unnecessary and could cause unnecessary discomfort and distress to the toddler. Offering fluids through a straw (choice
D) is contraindicated as the suction force may disrupt the healing process of the surgical site.