ATI RN
ATI Custom Pediatrics Comprehensive Exam Questions
Extract:
Infant with myelomeningocele
Question 1 of 5
The nurse reports to the healthcare provider signs of increased intracranial pressure in an infant with myelomeningocele who has which finding?
Correct Answer: A
Rationale: A bulging fontanelle with crying indicates increased intracranial pressure, often linked to hydrocephalus in myelomeningocele.
Extract:
2-day-old neonate weighing 8 pounds at birth, lost one-half pound
Question 2 of 5
The new mother of a 2-day-old neonate who weighed 8 pounds at birth is distressed that the baby has lost one-half pound. The home health nurse's response is one of:
Correct Answer: B
Rationale: A weight loss of up to 10% in the first few days is normal due to fluid loss and feeding adjustments, warranting reassurance.
Extract:
Infant starting new foods
Question 3 of 5
New foods should be introduced to the infant at intervals of
Correct Answer: C
Rationale: Introducing new foods every 5-7 days allows monitoring for allergic reactions or sensitivities, ensuring infant safety.
Extract:
4-year-old with terminal condition transitioning to end-of-life care
Question 4 of 5
The nurse is speaking with the parents of a 4-year-old child following a family discussion with the health care provider about the child's terminal condition and the possibility to transition to end-of-life care. The parents state, 'We don't think we can make this decision right now. What would you do?' Choose the nurse's BEST response.
Correct Answer: D
Rationale: Exploring the parents' beliefs fosters open communication, supporting informed decision-making tailored to their values during a difficult time.
Extract:
Neonate with anterior fontanel
Question 5 of 5
The nervous parent asks when the big 'soft spot' (anterior fontanel) will be closed. The nurse's most informative response would be
Correct Answer: C
Rationale: The anterior fontanel typically closes between 12 and 18 months, providing parents with an accurate timeline while acknowledging normal developmental variability.