ATI RN
ATI Pediatrics Exam Simmons U BSN Questions
Extract:
An eight-year-old with nephrotic syndrome is pale, lethargic, and has ascites
Question 1 of 5
To determine if the ascites is increasing, the nurse should:
Correct Answer: D
Rationale: Measuring abdominal girth directly assesses ascites progression. A, B, and C are less specific or ineffective for monitoring ascites.
Extract:
A 4-year-old child who has a new diagnosis of diabetes mellitus and is distressed after an insulin injection
Question 2 of 5
Which of the following play activities should the nurse recognize is therapeutic in helping the child deal with the injection?
Correct Answer: C
Rationale: A needleless syringe and doll allow therapeutic play to process injection distress. A, B, and D are less directly related to addressing injection fears.
Extract:
Four clients for whom she has to administer oral medications in the morning
Question 3 of 5
A nurse is caring for four clients for whom she has to administer oral medications in the morning. The nurse should administer which of the following medications before breakfast?
Correct Answer: A
Rationale: Levothyroxine requires an empty stomach for optimal absorption. B, C, and D can be taken with or without food.
Extract:
A school-age child who has acute glomerulonephritis with peripheral edema and is producing 35 mL of urine per hour
Question 4 of 5
The nurse should place the client on which of the following diets?
Correct Answer: B
Rationale: A low-sodium, fluid-restricted diet manages edema and fluid retention in acute glomerulonephritis. A, C, and D are less appropriate for addressing fluid and sodium imbalances.
Extract:
A child who weighs 70.4lb
Question 5 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: Converting 70.4 lb to 31.89 kg, fluid requirement (50-60 mL/kg/day) yields approximately 1594-1913 mL. 1740 mL is closest. B, C, and D are implausible (too high or too low).