ATI Pediatric Practice Questions

ATI Pediatric Practice Questions Related

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An adolescent client reports recurrent abdominal pain with diarrhea and bloody stools. Which type of inflammatory bowel disease does the nurse suspect based on these data?

  • A. Necrotizing enterocolitis (NEC)
  • B. Ulcerative colitis (UC)
  • C. Crohn's disease
  • D. Appendicitis
Correct Answer: B

Rationale: Ulcerative colitis is a type of inflammatory bowel disease characterized by recurrent abdominal pain, diarrhea, and bloody stools. The symptoms described align with the clinical presentation of ulcerative colitis, making it the most likely diagnosis in this scenario. Necrotizing enterocolitis primarily affects premature infants, Crohn's disease typically presents with non-bloody diarrhea, and appendicitis is characterized by right lower quadrant abdominal pain. Therefore, based on the symptoms provided, ulcerative colitis is the most appropriate suspicion.

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Although most relapses in children with Wilms tumor occur early (within 2 yr of diagnosis) and have a favorable outcome, about 15% suffer relapse. Relapse includes all the following EXCEPT

  • A. low stage (I/II) at diagnosis
  • B. no prior radiotherapy
  • C. anaplastic histology
  • D. more than 12 mo from nephrectomy
Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Why should a healthcare professional take time to get to know the things a family does together, their weekly routine, and an explanation of family dynamics?

  • A. Involvement in family is central to best practice
  • B. It is not necessary, but it is beneficial
  • C. To gather demographic information for documentation purposes
  • D. To assess if they have values that align with the practitioner's
Correct Answer: A

Rationale: Understanding the activities, routines, and dynamics of a family is crucial for a healthcare professional to provide holistic care. By gaining insight into the family's lifestyle and relationships, the professional can tailor interventions that are better integrated into the family's daily life, fostering more effective therapy outcomes and enhancing the overall quality of care provided.

The healthcare professional is completing the intake and output record for a child admitted for fluid volume deficit. The child has had the following intake and output during the shift: 4 oz of Pedialyte, One-half of an 8-oz cup of clear orange Jell-O, Two graham crackers, 200 mL of D5 1/2 sodium chloride IV. Output: 345 mL of urine, 50 mL of loose stool. How many milliliters should the healthcare professional document as the client's total intake? Give the numerical answer only. Do not include any units of measurement.

  • A. 440
  • B. 400
  • C. 410
  • D. 450
Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

The age of a child who imitates construction of a bridge of 3 cubes; copies circle; makes tower of 10 cubes is

  • A. 24 months old
  • B. 30 months old
  • C. 36 months old
  • D. 42 months old
Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

A 6-year-old child with daytime enuresis complains of dysuria and urgency. What does the nurse recognize these signs and symptoms indicate?

  • A. Urinary tract infection
  • B. Nephrotic syndrome
  • C. Acute glomerulonephritis
  • D. Vesicoureteral reflux
Correct Answer: A

Rationale: The signs and symptoms of dysuria and urgency in a child with daytime enuresis are indicative of a urinary tract infection. These symptoms, including urinary frequency and pain during urination, commonly point towards a UTI. Nephrotic syndrome typically presents with edema, proteinuria, hypoalbuminemia, and hyperlipidemia. Acute glomerulonephritis is characterized by hematuria, proteinuria, hypertension, and oliguria. Vesicoureteral reflux may lead to recurrent UTIs but does not directly present with dysuria and urgency.

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