ATI RN
ATI Custom Pediatrics Comprehensive Exam Questions
Extract:
Child postoperative after ventriculoperitoneal (VP) shunt insertion
Question 1 of 5
Which action should the nurse take when providing postoperative nursing care to a child after insertion of ventriculoperitoneal (VP) shunt?
Correct Answer: D
Rationale: The correct action for the nurse is to monitor for an increased temperature. This is crucial because fever can indicate infection, a common complication after VP shunt insertion. Checking urine for glucose and protein (
A) is not relevant to postoperative care for a VP shunt. Administering narcotics for pain control (
B) is important but not the priority in this case. Testing CSF fluid leakage for protein (
C) is not a routine postoperative care action. Monitoring for increased temperature (
D) is essential to promptly identify and manage infection.
Extract:
Infant prescribed levothyroxine 0.175 mg PO once a day, available as 88 mcg/tablet
Question 2 of 5
A nurse is preparing to administer levothyroxine 0.175 mg PO once a day. The amount available is levothyroxine 88 mcg/tablet. How many tablets should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero)
Correct Answer: B
Rationale: The correct answer is B: 2 tablets.
To calculate the number of tablets needed, convert 0.175 mg to mcg (175 mcg).
Then, divide the total mcg needed (175 mcg) by the mcg per tablet (88 mcg). 175 mcg / 88 mcg per tablet = 1.988. Since we need to round to the nearest whole number, the nurse should administer 2 tablets per dose.
A: 1 tablet is incorrect because 1 tablet only provides 88 mcg, which is less than the required 175 mcg.
C: 3 tablets is incorrect because 3 tablets would provide 3 x 88 mcg = 264 mcg, exceeding the required 175 mcg.
D: 4 tablets is incorrect because 4 tablets would provide 4 x 88 mcg = 352 mcg, significantly exceeding the required 175 mcg.
Extract:
Child with nephrotic syndrome
Question 3 of 5
The nurse anticipates that there will be two classic hematologic characteristics in the blood chemistry of a child with nephrotic syndrome which are: (Select all that apply.)
Correct Answer: A,C,D
Rationale: The correct answers are A, C, and D. In nephrotic syndrome, a child may experience anemia due to decreased production of red blood cells. Hyperlipidemia occurs as a result of increased liver synthesis of lipoproteins. Hypoproteinemia happens due to protein loss in the urine.
Option B, hypolipidemia, is incorrect because nephrotic syndrome is associated with elevated lipid levels.
Option E, hypoglycemia, is incorrect as nephrotic syndrome does not typically impact blood glucose levels.
Extract:
Preschooler
Question 4 of 5
Which stage of Erikson's theory would the nurse explain describes the development of a preschooler?
Correct Answer: C
Rationale: The correct answer is C: Initiative versus guilt. During the preschool years (ages 3-6), children are focused on developing a sense of purpose and taking initiative in activities. Erikson's theory states that successfully navigating this stage leads to a sense of accomplishment and initiative, while failure can result in feelings of guilt. This stage aligns with the preschooler's natural curiosity and desire to explore and try new things.
Incorrect choices:
A: Identity versus role confusion - This stage occurs during adolescence, not preschool years.
B: Autonomy versus sense of shame and doubt - This stage is focused on toddlers, not preschoolers.
D: Trust versus mistrust - This stage is related to infancy, not preschool age.
E, F, G: Not provided.
Extract:
1-year-old weighing 22 pounds post-open heart surgery
Question 5 of 5
The nurse caring for a 22-pound 1-year-old child who has had open heart surgery is aware that the minimum acceptable urine output for the child
Correct Answer: B
Rationale: The correct answer is B: 8 mL/hour. For a 1-year-old child, the minimum acceptable urine output is approximately 1-2 mL/kg/hr. Given the child's weight of 22 pounds (around 10 kg), the expected minimum urine output would be 10-20 mL/hr. Option B falls within this range and is therefore the correct choice. Option A (0 mL/hour) is incorrect as it indicates no urine output, which would be concerning. Option C (12 mL/hour) is slightly above the expected range for the child's weight. Option D (42 mL/hour) is too high and would be indicative of excessive fluid intake or output.