ATI RN
ATI Pediatrics Exam Simmons U BSN Questions
Extract:
A child with growth hormone deficiency (hypopituitarism) is being started on growth hormone therapy
Question 1 of 5
Nursing considerations should be based on knowledge of which of the following:
Correct Answer: A
Rationale: The correct answer is A because replacement therapy often requires daily subcutaneous injections to maintain proper hormone levels. This is crucial for managing conditions like diabetes or hormone deficiencies.
Choice B is incorrect as not all cases require lifelong therapy.
Choice C may be true in some cases but is not a universal rule.
Choice D is incorrect as successful treatment involves more than just achieving full stature.
Extract:
A child who weighs 70.4lb
Question 2 of 5
What is the daily fluid requirement (total in 24 hours) for a child who weighs 70.4lb? Do not use a label- it is ml. in the answer.(Answer in 24-hour clock system)
Correct Answer: A
Rationale: The correct answer is A: 1740 ml.
To calculate the daily fluid requirement for a child, you should use the formula: 70 ml/kg/day. First, convert the child's weight to kg (70.4 lb ÷ 2.2 = 32 kg).
Then, multiply the weight in kg by the ml/kg/day formula (32 kg × 70 ml/kg/day = 2240 ml/day). This is the total fluid requirement for a 24-hour period.
Extract:
An adolescent who has type 1 diabetes mellitus
Question 3 of 5
A nurse is providing teaching to an adolescent who has type 1 diabetes mellitus. Which of the following should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Obtain an influenza vaccine annually. This is important for an adolescent with type 1 diabetes to prevent complications from influenza that can worsen blood sugar control. Taking glyburide (
B) is incorrect as it is not used in type 1 diabetes. Administering glucagon for hyperglycemia (
C) is appropriate but not typically part of routine teaching. Injecting insulin in the deltoid muscle (
D) is not recommended due to variable absorption rates.
Extract:
A child who has nephrotic syndrome
Question 4 of 5
A nurse is assessing a child who has nephrotic syndrome. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Facial edema. In nephrotic syndrome, there is an excessive loss of protein through the kidneys, leading to hypoalbuminemia and fluid accumulation in tissues like the face, known as facial edema. Smokey brown urine (
A) is seen in conditions like acute tubular necrosis. Polyuria (
B) is excessive urination and is not a typical finding in nephrotic syndrome. Hypertension (
D) can occur in some cases but is not a hallmark finding.
Extract:
A school-age child who has acute glomerulonephritis with peripheral edema and is producing 35 mL of urine per hour
Question 5 of 5
The nurse should place the client on which of the following diets?
Correct Answer: B
Rationale: The correct answer is B: Low-sodium fluid-restricted diet. This diet is appropriate for a client with conditions like heart failure or hypertension to help manage fluid retention and blood pressure. Restricting sodium intake helps reduce fluid buildup in the body. A low-protein, low-potassium diet (choice
A) is more suitable for individuals with kidney disease. A low-carbohydrate, low-protein diet (choice
C) is not typically recommended for most clients unless specifically indicated for certain health conditions. Choosing a regular diet with no added salt (choice
D) may not be suitable for clients with fluid retention issues.