ATI RN
ATI Custom Pediatric exam 1 Questions
Extract:
A 2-month-old infant whose provider applied a Pavlik harness 1 week earlier for the treatment of developmental hip dysplasia
Question 1 of 5
A nurse is reinforcing teaching with the mother of a 2-month-old infant whose provider applied a Pavlik harness 1 week earlier for the treatment of developmental hip dysplasia. Which of the following statements by the mother indicates an understanding of the teaching?
Correct Answer: D
Rationale: Frequent skin checks under the Pavlik harness straps prevent irritation or pressure sores, indicating proper understanding of care to maintain skin integrity.
Extract:
An infant with a large patent ductus arteriosus
Question 2 of 5
A nurse is collecting data from an infant a large patent ductus arteriosus. Which of the following is clinical manifestations should the nurse expect?
Correct Answer: A
Rationale: A continuous machine-like murmur is characteristic of a large patent ductus arteriosus, caused by blood flow through the open duct, audible at the upper left sternal border.
Extract:
A child who is postoperative following the insertion of a ventriculoperitoneal shunt
Question 3 of 5
A nurse is caring for a child who is postoperative following the insertion of a ventriculoperitoneal shunt. The nurse should place the child in which of the following positions?
Correct Answer: D
Rationale: The supine position promotes proper cerebrospinal fluid drainage through the shunt without pressure on the surgical site, facilitating monitoring and reducing complications post-ventriculoperitoneal shunt insertion.
Extract:
A child who has suspected cystic fibrosis
Question 4 of 5
A nurse is reinforcing teaching about diagnostic tests with the parents of a child who has suspected cystic fibrosis. Which of the following diagnostic tests should the nurse include as the most definitive when diagnosing cystic fibrosis?
Correct Answer: B
Rationale: The sweat chloride test is the most definitive for diagnosing cystic fibrosis, detecting elevated chloride levels in sweat due to defective chloride transport.
Extract:
A 4-year-old child who is 2 days postoperative following the insertion of a ventriculoperitoneal shunt
Question 5 of 5
A nurse is caring for a 4-year-old child who is 2 days postoperative following the insertion of a ventriculoperitoneal shunt. Which of the following findings should the nurse identify as the priority?
Correct Answer: A
Rationale: Lethargy is a priority finding post-ventriculoperitoneal shunt insertion, potentially indicating increased intracranial pressure or neurological complications, requiring immediate attention.