ATI RN
ATI Pediatrics Exam NUrs 150 exam 3 Swaml Questions
Extract:
An infant who is 2 months old, born at 39 2/7 weeks, Apgar 8 and 9, weighed 2.04 kg at birth, fussy, hard to console, vomits 60-90 mL after feeding
Question 1 of 5
A nurse on the pediatric unit is assessing an infant who is 2 months old. The infant was born by spontaneous vaginal delivery at 39 2/7 weeks, Apgar 8 and 9, received regular newborn care and screening, and was discharged home with the mother. The infant weighed 2.04 kg (4 lbs 8 oz) and was 18 inches (45.7 cm) in length at birth. The guardians report that in the last 3 days, the infant has been fussy and hard to console within the first hour after feeding. The infant takes formula and vomits after each feeding, about 60-90 mL (2 to 3 ounces) of partially digested formula. Which of the following conditions is the infant most likely to have?
Correct Answer: A
Rationale: Projectile vomiting, fussiness, and poor weight gain suggest pyloric stenosis, a condition obstructing stomach outflow, common in young infants. Reflux causes milder symptoms, celiac disease involves gluten, and lactose intolerance causes diarrhea.
Extract:
An infant who is 6 months old and has sneezing, coughing, nasal congestion, intermittent fever, and apneic spells
Question 2 of 5
A nurse is monitoring an infant who is 6 months old and has sneezing, coughing, nasal congestion, intermittent fever, and apneic spells. The nurse should recognize these findings are consistent with which of the following diagnoses?
Correct Answer: B
Rationale: Bronchiolitis causes sneezing, coughing, congestion, and apneic spells in infants. Epiglottitis involves drooling, influenza lacks apnea, and croup features stridor.
Extract:
A child who has cystic fibrosis (CF)
Question 3 of 5
A nurse is providing discharge teaching about nutrition to the parents of a child who has cystic fibrosis (CF). Which of the following responses by the parents indicates an understanding of the teaching?
Correct Answer: C
Rationale: Pancreatic enzymes aid nutrient absorption in CF. Salt restriction, fluid limits, and low-fat/protein diets are harmful due to CF’s nutritional demands.
Extract:
A child who is 2 hours postoperative following a tonsillectomy
Question 4 of 5
A nurse is caring for a child who is 2 hours postoperative following a tonsillectomy. Which of the following fluid items should the nurse offer the child at this time?
Correct Answer: D
Rationale: Water is clear, bland, and hydrating, promoting healing without irritating the surgical site. Cranberry juice is acidic, milkshakes may coat the throat, and cubed ice may cause vasoconstriction and bleeding.
Extract:
A child who has suspected appendicitis
Question 5 of 5
A nurse is caring for a child who has suspected appendicitis. Which of the following provider prescriptions should the nurse clarify?
Correct Answer: A
Rationale: Sodium biphosphate/sodium phosphate, a laxative, can cause bowel perforation in appendicitis. NPO status, temperature monitoring, and pain medication are appropriate interventions.