ATI RN
ATI Pediatrics Exam 2 Questions
Extract:
A 4-month-old infant in the emergency department with fever, irritability, lethargy, bulging fontanel, clear cerebrospinal fluid from lumbar puncture, retinal hemorrhages.
Question 1 of 5
The nurse is caring for a 4-month-old infant in the emergency department. The nurse reviews the infant's medical record and assessment findings. Which of the following conditions should the nurse suspect, and what actions should the nurse take to address that condition, and what parameters should the nurse monitor to assess the infant's progress? The nurse should suspect that the infant has
Correct Answer: A
Rationale: Meningitis is likely due to fever, irritability, lethargy, and bulging fontanel. Actions include administering antibiotics and monitoring vital signs, neurological status, and CSF results. Hydrocephalus, hemorrhage, or sepsis are less likely without specific signs like head enlargement or poor perfusion.
Extract:
An infant with developmental dysplasia of the hip (DDH) using a Pavlik harness.
Question 2 of 5
A nurse in a provider's office is caring for an infant who has developmental dysplasia of the hip (DDH). The nurse should include which of the following instructions in the teaching plan for the parents about the Pavlik harness?
Correct Answer: C
Rationale: Diapers under the harness ensure proper function. Strap adjustments are provider-only, breastfeeding may disrupt alignment, and removing the harness risks treatment failure.
Extract:
A toddler with heart failure.
Question 3 of 5
A nurse is assessing a toddler who has heart failure. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Orthopnea, difficulty breathing when lying flat, is expected in heart failure. Weight gain, tachycardia, and decreased urine output are typical, not the opposites.
Extract:
A 6-month-old infant at a well-child visit.
Question 4 of 5
A nurse is assessing a 6-month-old infant at a well-child visit. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The posterior fontanel closes by 2-4 months, expected at 6 months. Incisors erupt later, sitting without support varies, and pincer grasp develops at 9-12 months.
Extract:
A 7-year-old child with fever, tachycardia, low oxygen saturation, WBC count 15,000/mm^3, Hgb 8 g/dL, Hct 32%.
Question 5 of 5
A nurse is caring for a 7-year-old child who has a fever, tachycardia, and low oxygen saturation. The nurse reviews the child's laboratory results and notes the following: - WBC count 15,000/mm^3 (normal range: 5,000 to 10,000/mm^3) - Hgb 8 g/dL (normal range: 10 to 15.5 g/dL) - Hct 32% (normal range: 32% to 44%) The nurse should suspect that the child has which of the following conditions?
Correct Answer: B
Rationale: Sickle cell anemia is likely, as low hemoglobin, hematocrit, fever, tachycardia, and low oxygen saturation suggest a sickle cell crisis causing tissue ischemia. Leukemia, hemophilia, or iron deficiency anemia are less likely without specific signs like bleeding or lymphadenopathy.