ATI Nursing Proctored Pediatric Test Banks

ATI Nursing Proctored Pediatric Test Banks Related

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A client with serum glucose level of 618mg/dl is admitted to the facility. He's awake and oriented, has hot dry skin, and has the following vital signs: temperature of 100.6F (38.1C), heart rate of 116 beats/min, and blood pressure of 108/70mHg. Based on these assessment findings, which nursing diagnosis take highest priority?

  • A. Deficient volume related to osmotic diuresis
  • B. Decreased cardiac output related to elevated heart rate
  • C. Imbalanced nutrition: Less than body requirements related to insulin deficiency
  • D. Ineffective thermoregulation related to dehydration
Correct Answer: A

Rationale: The client's serum glucose level of 618mg/dl is indicative of severe hyperglycemia, likely due to uncontrolled diabetes mellitus. The client's presentation with hot dry skin, elevated heart rate, and low blood pressure suggests dehydration as a result of osmotic diuresis, which occurs in an attempt to excrete excess glucose. With an elevated heart rate and low blood pressure, it is essential to address the deficient volume to prevent further complications such as hypovolemic shock. Rehydration and fluid replacement are crucial interventions to help restore the client's fluid balance and prevent hemodynamic instability. Addressing the deficient volume related to osmotic diuresis should take the highest priority in this case.

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An 8-day-old is admitted with vomiting and dehydration. His HR is 170, RR is 44, BP is 85/52, and T is 99°F. The parents ask if these vital signs are normal. Which is the best response?

  • A. The BP is elevated.
  • B. The temperature is elevated.
  • C. The heart rate is elevated; normal for a neonate is 90-160 bpm.
  • D. The respiratory rate is elevated.
Correct Answer: C

Rationale: A neonatal heart rate of 170 is above the normal range (90-160 bpm), which is concerning for dehydration.

The nurse is assigned to care for a postoperative client who has diabetes mellitus. During the assessment interview, the client reports that he's impotent and says he's concerned about its effect on his marriage. In planning this client's care, the most appropriate intervention would be to:

  • A. Encourage the client to ask questions about personality sexuality
  • B. Provide time for privacy
  • C. Provide support for the spouse or significant other
  • D. Suggest referral to a sex counselor or other appropriate professional
Correct Answer: D

Rationale: Suggesting a referral to a sex counselor or other appropriate professional would be the most appropriate intervention in this case. Impotence or erectile dysfunction can have significant emotional and psychological implications, especially in the context of a marital relationship. A sex counselor or therapist who specializes in sexual health can provide the necessary support, guidance, and strategies to help the client and his spouse navigate this issue effectively. This intervention is aimed at addressing the client's concerns about impotence, its impact on his marriage, and ultimately promoting holistic well-being.

The nurse is admitting a newborn with hypospadias to the nursery. The nurse expects which finding in this newborn?

  • A. Absence of a urethral opening is noted.
  • B. Penis appears shorter than usual for age.
  • C. The urethral opening is along the dorsal surface of the penis.
  • D. The urethral opening is along the ventral surface of the penis.
Correct Answer: D

Rationale: Hypospadias is a congenital condition where the opening of the urethra is located on the ventral surface of the penis instead of the tip. This results in the ventral placement of the urethral meatus compared to the normal dorsal position. It can typically be visually identified when examining the newborn's genitalia. A key characteristic of hypospadias is the abnormal positioning of the urethral opening, which distinguishes it from other conditions affecting the male genitalia.

Which type of leukemia has been MOST likely developed in a 2-year-old child with Down syndrome in the neonatal period?

  • A. ALL
  • B. CML
  • C. AML M1
  • D. AML M6
Correct Answer: D

Rationale: Transient myeloproliferative disorder in neonates with Down syndrome can evolve into AML M6.

Use of condoms of those found to be infected with HIV

  • A. 1 & 3
  • B. 3 & 4
  • C. 2 & 3 SITUATION; Mr. Baldo , 36 years old patient complaints of fatigue, weight loss, and low-grade fever. He also has pa in his fingers, elbows, and ankles.
Correct Answer: B

Rationale: In the given scenario involving Mr. Baldo presenting with symptoms of fatigue, weight loss, low-grade fever, and joint pain in fingers, elbows, and ankles, it is suggested that he may potentially have rheumatoid arthritis. Therefore, options 3 and 4 are the correct choices. Option 3 mentions the administration of NSAIDs (Nonsteroidal Anti-Inflammatory Drugs) for pain management, which is a common treatment approach for rheumatoid arthritis to help reduce inflammation and manage pain. Option 4 suggests consulting a rheumatologist for further evaluation and management, which is crucial in determining the appropriate diagnosis and treatment plan for Mr. Baldo's condition.

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