ATI Nursing Proctored Pediatric Test Banks

ATI Nursing Proctored Pediatric Test Banks Related

Review ATI Nursing Proctored Pediatric Test Banks related questions and content

Before administering a food feeding the nurse knows to perform which of the following assessments/

  • A. The GI tract, including bowel sounds, last BM, and distention f. The client's neurologic status, especially the gag reflex
  • B. The amount of air in the stomach
  • C. That the formula is used directly from the refrigerator
Correct Answer: A

Rationale: Before administering a food feeding, the nurse knows to perform assessments related to the GI tract, including bowel sounds, last bowel movement, and distention. These assessments help evaluate the patient's digestive system function and readiness for food intake. In addition, assessing the client's neurologic status, especially the gag reflex, is crucial before initiating feeding to prevent aspiration and ensure safe swallowing. These assessments help ensure the safety and well-being of the patient during the feeding process. Checking the amount of air in the stomach and ensuring that the formula is used directly from the refrigerator are not primary assessments that need to be performed before administering a food feeding.

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In embryonic period, formation of all of the following occur by the given time EXCEPT

  • A. 8 days - blastocyst formation
  • B. 6 weeks - ectoderm formation
  • C. 8 weeks - crown-rump length about 3 cm
  • D. 10 weeks - endoderm formation
Correct Answer: D

Rationale: Endoderm formation occurs much earlier than 10 weeks in the embryonic period.

Children with secondary nocturnal enuresis may have

  • A. UTI
  • B. diabetes mellitus
  • C. diabetes insipidus
  • D. psychosocial stressor
Correct Answer: D

Rationale: Psychosocial stressors can trigger secondary nocturnal enuresis after a period of dryness.

During a breast examination, which finding most strongly suggests that the client has breast cancer?

  • A. Slight asymmetry of the breasts
  • B. A fixed nodular mass with dimpling of the overlying skin
  • C. Bloody discharge from the nipple
  • D. Multiple firm, round, freely movable masses that change with the menstrual cycle
Correct Answer: B

Rationale: A fixed nodular mass with dimpling of the overlying skin is the finding that most strongly suggests breast cancer. This presentation is concerning for an invasive carcinoma that has invaded into the surrounding tissues, leading to the dimpling of the skin. Breast cancer typically presents as a painless, hard, irregularly shaped, non-mobile mass. Dimpling of the skin overlying the mass is a sign of advanced disease and is often associated with a poor prognosis. Therefore, this finding should raise suspicion for breast cancer and prompt further evaluation and workup.

The nurse is caring for a newborn receiving an exchange transfusion for hemolytic disease. Assessment of the newborn reveals slight respiratory distress and tachycardia. Which should the nurse's first action be?

  • A. Notify practitioner.
  • B. Stop the transfusion.
  • C. Administer calcium gluconate.
  • D. Monitor vital signs electronically.
Correct Answer: B

Rationale: Slight respiratory distress and tachycardia in a newborn during an exchange transfusion may indicate a possible transfusion reaction or overload. The first action the nurse should take is to stop the transfusion to prevent any further complications and assess the newborn's condition. After stopping the transfusion, the nurse can then take appropriate steps such as notifying the practitioner, administering medications, or providing supportive care as needed.

Which blood gas analyses are most indicative of respiratory acidosis?

  • A. pH = 7.22, PCO2 = 55 mmHg, HCO3 = 30 mEq/L.
  • B. pH = 7.28, PCO2 = 45 mmHg, HCO3 = 15 mEq/L.
  • C. pH = 7.34, PCO2 = 35 mmHg, HCO3 = 25 mEq/L.
  • D. pH = 7.40, PCO2 = 25 mmHg, HCO3 = 30 mEq/L.
Correct Answer: A

Rationale: Respiratory acidosis is indicated by a low pH and elevated PCO2, as seen in option A.

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