ATI RN
ATI Pediatrics Exam NURS 243 Spring 2014 Questions
Extract:
A child with hypotonic hyponatremia with a sodium level below 114 mEq/L.
Question 1 of 5
The nurse is caring for a child who is suffering from hypotonic hyponatremia with a sodium level below 114 mEq/L. Which of the following symptoms will the nurse anticipate when assessing the child?
Correct Answer: A
Rationale: Severe hyponatremia can cause cerebral edema, leading to seizures, confusion, and weakness due to low sodium levels affecting neurological function.
Extract:
An 18-month-old with high fever, coughs hard, and has a runny nose; a one-year-old with a slight fever, a rash, and green secretions.
Question 2 of 5
Which child requires urgent care?
Correct Answer: A
Rationale: High fever and hard coughing in an 18-month-old suggest a serious respiratory infection, requiring urgent care over a one-year-old's milder symptoms.
Extract:
A 3-year-old child with moderate dehydration.
Question 3 of 5
A 3-year-old child is admitted to a pediatric unit with moderate dehydration. The nurse would expect to see which of the following assessment findings in this child?
Correct Answer: D
Rationale: Moderate dehydration in a 3-year-old is indicated by poor skin turgor, oliguria, and a slightly elevated pulse (150 bpm), reflecting fluid loss and compensatory tachycardia.
Extract:
A child with a tracheostomy tube.
Question 4 of 5
When teaching home tracheotomy care to caregivers of a child with a tracheostomy tube, which of the following topics are essential to include in teaching?
Correct Answer: B,C,D
Rationale: Emergency equipment, regular tube changes, and secretion monitoring are critical for safety and infection prevention, while a cool, dry environment is less relevant.
Extract:
A newborn suspected to have esophageal atresia.
Question 5 of 5
The nurse is caring for a newborn suspected to have esophageal atresia. Which of the following interventions must be the FIRST priority?
Correct Answer: D
Rationale: Elevating the head 30-35 degrees prevents aspiration of gastric contents due to potential tracheoesophageal fistula, a critical concern in esophageal atresia.