ATI RN
ATI Pediatric Exam 3 Questions
Extract:
A school-age child who has type 1 diabetes mellitus and his parents
Question 1 of 5
A nurse is teaching a school-age child who has type 1 diabetes mellitus and his parents about illness management. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: Test the urine for ketones. This instruction is crucial for managing type 1 diabetes as ketones in the urine can indicate diabetic ketoacidosis, a serious complication. Testing for ketones helps monitor the child's condition and allows for timely intervention if necessary. It is important to explain to the child and parents how to perform this test accurately and when to seek medical help based on the results.
Other choices are incorrect:
A: Withholding insulin when feeling nauseous can lead to uncontrolled blood sugar levels.
B: Notifying the provider only when blood glucose is out of range may result in missed opportunities for preventive care.
C: Limiting fluid intake during meal times can disrupt blood sugar regulation and hydration.
In summary, testing urine for ketones is essential for diabetes management, while the other options may lead to adverse outcomes.
Extract:
A 6-week-old infant who has pyloric stenosis
Question 2 of 5
A nurse is caring for a 6-week-old infant who has pyloric stenosis. Which of the following clinical manifestations should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Projectile vomiting. Pyloric stenosis is a condition where the muscle at the outlet of the stomach thickens, leading to obstruction. Projectile vomiting is a classic symptom due to the forceful emptying of the stomach contents. Distended neck veins (
A) are not typically associated with pyloric stenosis. While a rigid abdomen (
B) may be present in some cases, it is not as specific or common as projectile vomiting. Red currant jelly stools (
D) are more indicative of intussusception, another gastrointestinal condition.
Extract:
A 7-month-old infant
Question 3 of 5
A nurse in a clinic is assessing a 7-month-old infant. Which of the following indicates a need for further evaluation?
Correct Answer: A
Rationale: The correct answer is A: Uses a pincer grasp. At 7 months, infants typically develop a pincer grasp around 9-10 months. This indicates fine motor skills development. If a 7-month-old is already using a pincer grasp, it may suggest advanced development, requiring further evaluation.
Choices B, C, and D are typical developmental milestones for a 7-month-old and do not raise immediate concerns. B: Fear of strangers is a common developmental stage. C: Showing food preferences is a normal part of exploring tastes. D: Babbling one-syllable sounds is typical for language development at this age.
Extract:
A school-age child who has a new diagnosis of diabetes mellitus
Question 4 of 5
A nurse is providing teaching about self-administration of insulin to the parent of a school-age child who has a new diagnosis of diabetes mellitus. Which of the following statements by the parent indicates a need for further teaching?
Correct Answer: C
Rationale: The correct answer is C: "I will be sure my child aspirates before injecting the insulin." This statement indicates a need for further teaching because aspirating before injecting insulin is not necessary. Insulin injections are subcutaneous, not intramuscular, so aspirating is not required. Aspirating can cause unnecessary pain and tissue trauma. The other choices are correct: A: Insulin can be injected anywhere with adipose tissue for absorption, B: Rotating injection sites prevents lipodystrophy, D: Injecting at a 90-degree angle ensures proper delivery.
Extract:
A group of females who are pregnant
Question 5 of 5
A nurse is teaching about neural tube defects to a group of females who are pregnant. Which of the following disease processes should the nurse include as an example of a neural tube defect?
Correct Answer: B
Rationale: The correct answer is B: Spina bifida. Neural tube defects are congenital malformations of the central nervous system. Spina bifida specifically refers to a condition where the spine and spinal cord do not form properly. This results in varying degrees of disability. Muscular dystrophy (
A) is a genetic disorder that affects muscle function, not the neural tube. Hydrocephalus (
C) is a condition characterized by an abnormal buildup of cerebrospinal fluid in the brain, not a neural tube defect. Cerebral palsy (
D) is a group of disorders that affect movement and posture, not directly related to neural tube defects.