ATI Pediatric Practice Questions

ATI Pediatric Practice Questions Related

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Marge is a 2-year-old girl who does not sit and eat at mealtimes but rather brings food to many rooms, eats a few bites, and drops it. Her parents report that she is a 'fussy eater.' Marge is significantly below weight for her age. She does not have any oral motor structure abnormalities, but eats only certain foods with the same texture. Which intervention strategy would be best to address the environmental context?

  • A. Prolong mealtimes and eliminate all snacks
  • B. Provide high-calorie snacks and meals at the table throughout the day
  • C. Allow Marge to eat whenever and wherever she wants in the house
  • D. Require Marge to eat everything on her plate and at snack
Correct Answer: B

Rationale: In the case of Marge, who exhibits selective eating habits and struggles with weight gain, providing high-calorie snacks and meals at the table throughout the day can be an effective intervention. This strategy can help increase her food intake in a structured environment, promoting healthier eating habits and potentially addressing her below-average weight status. By offering calorie-dense foods at designated meal times, Marge may be more likely to consume the necessary nutrients to support her growth and development, ultimately improving her overall health.

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When teaching a parent of a 2-month-old infant with acute gastroenteritis who is bottle feeding, which of the following statements should the nurse include?

  • A. Offer Pedialyte between formula feedings.
  • B. Feed the infant every 6 hours.
  • C. Give diluted apple juice if the infant becomes dehydrated.
  • D. Switch to soy-based formula permanently.
Correct Answer: A

Rationale: In the case of acute gastroenteritis in a 2-month-old infant who is bottle feeding, the nurse should recommend offering Pedialyte between formula feedings. This helps prevent dehydration and ensures that the infant receives essential electrolytes and fluids to aid in recovery. Pedialyte is specifically formulated to help replace lost fluids and electrolytes due to vomiting and diarrhea, making it a suitable choice for infants with gastroenteritis.

A child is in the oliguric phase of acute kidney injury. Which of the following interventions should be included in the plan of care?

  • A. Administer a loop diuretic.
  • B. Provide a low-sodium diet.
  • C. Weigh the child weekly.
  • D. Provide a high-protein diet.
Correct Answer: A

Rationale: During the oliguric phase of acute kidney injury, the priority is to manage fluid balance. Administering a loop diuretic helps promote diuresis and reduce fluid retention, aiding in managing the condition effectively. Providing a low-sodium diet may be beneficial but is not the priority intervention during this phase. Weighing the child weekly may be important for monitoring overall health but does not directly address the oliguric phase. Providing a high-protein diet is not typically recommended in acute kidney injury, especially during the oliguric phase.

A nurse is auscultating the lungs of an adolescent who has asthma. The nurse should identify the sound as which of the following?

  • A. Biots respiration
  • B. Chaney Stokes respiration
  • C. tachypnea
  • D. Bradypnea
Correct Answer: C

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

A child with nephrotic syndrome has not experienced diuresis after a month on corticosteroids. What protocol can the nurse encourage to induce diuresis?

  • A. Ibuprofen, an anti-inflammatory agent
  • B. Furosemide (Lasix), a diuretic
  • C. Ciprofloxacin (Cipro), an antibiotic
  • D. Cyclophosphamide (Cytoxan), an immunosuppressant
Correct Answer: B

Rationale: If diuresis has not occurred with corticosteroids in nephrotic syndrome, a diuretic like Furosemide (Lasix) is the appropriate choice to promote diuresis. Furosemide works by increasing urine production and reducing fluid retention. While Ibuprofen is an anti-inflammatory agent, it does not directly induce diuresis. Ciprofloxacin is an antibiotic and is not indicated for promoting diuresis in this scenario. Cyclophosphamide is an immunosuppressant, not an antisuppressant, and is not typically used to induce diuresis in nephrotic syndrome.

A patient is 1 hour postoperative following an open reduction internal fixation of the left tibia. Which of the following actions should the nurse take?

  • A. Assess neurovascular status of the extremities every 4 hours
  • B. Monitor the patient's pain level every 8 hours
  • C. Assist the patient to the bathroom every 2 hours
  • D. Keep the patient's left leg elevated on two pillows
Correct Answer: A

Rationale: It is crucial to assess the neurovascular status of the extremities every 4 hours to monitor for any signs of complications such as impaired circulation or nerve damage. This frequent assessment helps in early detection of any issues that may arise postoperatively, allowing for timely intervention and prevention of potential complications.

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