ATI RN
ATI Pediatric Exam Nursing 228 Questions
Extract:
A one-day-old neonate born at 32 weeks' gestation with an axillary temperature of 95 degrees F
Question 1 of 5
A one-day-old neonate born at 32 weeks' gestation is in the neonatal intensive care unit under a radiant overhead warmer. The nurse assesses the morning axilla temperature as 95 degrees F (35 degrees C). What could explain the assessment finding?
Correct Answer: D
Rationale: The correct answer is D: The supply of brown adipose tissue is not developed in the neonate. Brown adipose tissue is important for thermoregulation in newborns by generating heat through non-shivering thermogenesis. In premature infants, especially those born at 32 weeks' gestation, the brown fat stores may not be fully developed, leading to difficulty in maintaining body temperature. This lack of thermogenic capacity can result in lower body temperatures, such as the axillary temperature of 95 degrees F observed in this case.
Incorrect choices:
A: Conduction heat loss is not the primary issue in this scenario as the problem lies more with thermoregulation due to underdeveloped brown fat.
B: While axillary temperatures may have limitations, in this case, the temperature reading is likely accurate given the context of the premature neonate.
C: A temperature of 95 degrees F is not within the normal range for a neonate, indicating an issue with thermoregulation
Extract:
Children in a healthcare provider's office
Question 2 of 5
The nurse is caring for children in a healthcare provider's office where health supervision is practiced. Which are some points of focus of health supervision? Select all that apply.
Correct Answer: A,B,E,F
Rationale: The correct answers are A, B, E, and F. A is correct because health supervision aims to optimize a child's functioning. B is correct as monitoring quality of care is essential. E is correct as teaching parents to prevent injury is a key aspect. F is correct because providing care based on national guidelines ensures best practices. C and D are incorrect as health supervision does not involve making referrals for all healthcare needs or monitoring disease incidence.
Extract:
A 9-year-old child receiving chemotherapy
Question 3 of 5
The nurse is implementing interventions to prevent physical stressors for a 9-year-old child receiving chemotherapy in the hospital. How will the nurse provide atraumatic care for this child?
Correct Answer: C
Rationale: The correct answer is C because inserting a saline lock allows for multiple doses of parenteral medications without the need for repeated needle sticks, reducing physical stress for the child. Having the parent stand near or rub the child's feet (choice
A) may provide emotional support but does not address physical stressors. Using restraint (choice
B) can cause trauma and increase stress. Avoiding numbing techniques (choice
D) can cause unnecessary pain and distress.
Extract:
A 9-month-old girl
Question 4 of 5
The nurse is providing anticipatory guidance to the mother of a 9-month-old girl during a well-baby visit. Which topic would be most appropriate?
Correct Answer: A
Rationale: The correct answer is A, warning about small objects left on the floor. At 9 months, the baby is likely starting to explore by crawling and putting things in their mouth, posing a choking hazard. This topic is most appropriate as it addresses an immediate danger. B is less critical as baths can be supervised. C is important but not as urgent. D is incorrect as walkers are not recommended due to safety concerns.
Extract:
A toddler
Question 5 of 5
The nurse is helping parents prepare a healthy meal plan for their toddler. Which guidelines for promoting nutrition should be followed when planning meals? Select all that apply.
Correct Answer: A,B,D,E
Rationale:
Correct
Answer: A, B, D, E
Rationale:
A:
Toddlers require around 700 mg of calcium per day for proper bone development.
B: Adequate calcium intake and exercise are crucial for bone mineralization in toddlers.
D: Extending breastfeeding into toddlerhood provides continued nutritional benefits.
E: Weaning from the bottle between 6 to 12 months helps prevent tooth decay and promotes independent drinking.
Incorrect
Choices:
C: Restricting fat intake for children under 2 is not recommended as they need fats for brain development.
F:
Toddlers do not have the highest daily iron intake; iron needs vary based on age and gender.
Summary:
The correct answers focus on calcium intake, breastfeeding benefits, and appropriate weaning practices. The incorrect choices involve inaccurate information about fat intake and iron needs in toddlers.