ATI RN
ATI Pediatrics Exam NURS 243 Spring 2014 Questions
Extract:
An infant with Hirschsprung's disease post-laparoscopically assisted endorectal pull-through procedure.
Question 1 of 5
The nurse is caring for an infant with Hirschsprung's disease who just returned from surgery for a laparoscopically assisted endorectal pull-through procedure. The nurse must monitor which of the following orders?
Correct Answer: A
Rationale: NPO until bowel sounds return prevents vomiting and aspiration, indicating gastrointestinal recovery post-surgery for Hirschsprung's disease.
Extract:
A 6-year-old admitted due to dehydration following a tonsillectomy 26 hours ago, with vital signs: Temperature: 100.9°F, Pulse: 150 bpm, Respiration: 28, Blood Pressure: 88/50, Pain: Throat 10.
Question 2 of 5
A nurse is providing care for a 6-year-old patient who was admitted due to dehydration following a tonsillectomy 26 hours ago. The patient's vital signs are as follows: Temperature: 100.9°F, Pulse: 150 bpm (apically), Respiration: 28, Blood Pressure: 88/50, Pain: Ears 0, Throat 10 using FACES pain scale, Weight: 40 lbs. Complete the following sentence by using the list of options as evidenced by: The patient is most at risk for:
Correct Answer: A
Rationale: Severe throat pain and tachycardia suggest ongoing dehydration, exacerbated by reduced intake post-tonsillectomy.
Extract:
An infant admitted with dehydration.
Question 3 of 5
The nurse is reviewing the intake and output record from the previous 8-hour shift for an infant admitted with dehydration. The nurse also reviews the most recent lab results in the chart. Based on the information in the chart provided, the nurse determines which of the following to be correct regarding this patient during the 8-hour shift?
Correct Answer: D
Rationale: Lab results likely indicate dehydration, consistent with the admission diagnosis and lack of specific improvement data.
Extract:
None specified.
Question 4 of 5
The nurse recognizes that which of the following is a key aspect of patient-centered care and the medical home model?
Correct Answer: A
Rationale: Comprehensive interdisciplinary care ensures all health aspects are addressed, central to the medical home model's coordinated approach.
Extract:
An 18-month-old toddler.
Question 5 of 5
The nurse is educating the parents of an 18-month-old toddler about safety and injury prevention. Which action by the parents best demonstrates their understanding of the child's safety needs?
Correct Answer: A
Rationale: Supervising in fenced play areas ensures safety for an exploring toddler, unlike inappropriate street crossing, incorrect car seat use, or relying solely on water safety teaching.