ATI RN
ATI Pediatrics Exam 2 Questions
Extract:
An adolescent with blood glucose level of 55 mg/dL, feeling shaky, trouble focusing.
Question 1 of 5
A school nurse is assessing an adolescent who reports feeling shaky and is having trouble focusing and concentrating on the questions. The nurse checks the adolescent's blood glucose level and finds a value of 55 mg/dL. Which of the following findings should the nurse expect? (Select all that apply.)
Correct Answer: B,E
Rationale: Tachycardia and hunger are expected in hypoglycemia (blood glucose 55 mg/dL), driven by sympathetic activation and cellular glucose lack. Polyuria, dry skin, and rapid respirations are linked to hyperglycemia or ketoacidosis.
Extract:
A child with rheumatic fever, parent providing medical history.
Question 2 of 5
A nurse is caring for a child who has rheumatic fever. When obtaining the child's medical history from the parent, the nurse should recognize the significance of which of the following data as the possible source of the child's infection?
Correct Answer: A
Rationale: A recent streptococcal sore throat (sibling) is a likely trigger for rheumatic fever, occurring 2-4 weeks prior. Chickenpox, fifth disease, and gastritis are unrelated.
Extract:
An infant with spina bifida undergoing surgical closure of the myelomeningocele sac.
Question 3 of 5
A nurse is planning care for an infant who has spina bifida and is to undergo surgical closure of the myelomeningocele sac. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: D
Rationale: A latex-free environment is critical due to the high risk of latex allergy in spina bifida patients from frequent medical exposures. Supine positioning risks sac damage. Limiting visitors or contact precautions are unnecessary without infection.
Extract:
Children on a general pediatric unit.
Question 4 of 5
A nurse is providing care to children on a general pediatric unit. Which of the following children should the nurse identify as a potential victim of abuse?
Correct Answer: D
Rationale: Parents answering for the child may indicate controlling behavior, a potential abuse sign. Obesity or frequent visitors are not direct abuse indicators.
Extract:
An adolescent with spina bifida, paralyzed from the waist down.
Question 5 of 5
A nurse is caring for an adolescent who has spina bifida and is paralyzed from the waist down. Which of the following statements by the client should indicate to the nurse a need for further teaching?
Correct Answer: D
Rationale: Catheterizing only twice daily risks urinary retention and infection; 4-6 hourly is needed. Exercises, hydration, and bowel management are appropriate.