ATI Pediatric Proctored Exam

ATI Pediatric Proctored Exam Related

Review ATI Pediatric Proctored Exam related questions and content

Mary is excited to work with the family of a friend with whom she has lost contact. Mary hopes the family will be able to connect her with her friend and is looking forward to hearing about her friend. At the next session, she asks the mother many questions about her friend and they spend a lot of time discussing their home town, etc. Which statement describes this scenario?

  • A. It is not therapeutic: The relationship serves no purpose
  • B. It is therapeutic: Therapist, child, and family have a reciprocal caring relationship
  • C. It is not therapeutic: Mary is benefiting, but not the child and family
  • D. It is therapeutic: Both parties are benefiting in the relationship
Correct Answer: C

Rationale: In this scenario, Mary's focus on her own needs and interests by asking the mother about her lost friend and hometown indicates a lack of therapeutic benefit for the child and family. Effective therapy should prioritize the needs and goals of the child and family, not the therapist's personal desires or connections. Therefore, this interaction is not therapeutic as it fails to address the primary purpose of the therapy, which is to benefit the child and family.

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A healthy 4-year-old child has a left flank mass. Computerized tomography (CT) scan of the abdomen shows a localized renal mass. Radical nephrectomy is performed; the histology shows clear cell sarcoma of the kidney. The MOST appropriate next step in the management is

  • A. CT scan of the chest
  • B. CT scan of the brain
  • C. bone scan
  • D. magnetic resonance imaging (MRI) of the brain
Correct Answer: C

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

Which assessment finding, after the dialysate is drained during peritoneal dialysis for a child experiencing acute renal failure, would warrant further action by the nurse?

  • A. The dialysate is clear upon return.
  • B. The volume of drained dialysate is less than the volume infused.
  • C. The child is restless and eager to play.
  • D. The child's vital signs remain consistent with those noted during infusion.
Correct Answer: B

Rationale: A lower volume of drained dialysate compared to the volume infused suggests a possible obstruction or malfunction in the dialysis process. This finding could compromise the effectiveness of the treatment and needs prompt assessment and intervention by the nurse to ensure the child's safety and well-being.

A nurse is caring for a child who has a new diagnosis of osteomyelitis. Which of the following actions should the nurse take?

  • A. Administer aspirin for pain.
  • B. Apply ice to the affected area.
  • C. Monitor the child’s weight daily.
  • D. Limit the child's activity.
Correct Answer: C

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

As a result of opioid administration, a child's respirations are slow and shallow. Which should the nurse anticipate when assessing the child's arterial blood gas?

  • A. Increased PCO2 and respiratory acidosis
  • B. Decreased PCO2 and respiratory alkalosis
  • C. Low pH and low PCO2
  • D. High pH and high PCO2
Correct Answer: A

Rationale: When a child's respirations are slow and shallow due to opioid administration, it results in hypoventilation. This leads to retaining carbon dioxide, indicated by an increased PCO2 level on arterial blood gas analysis, and subsequently causes respiratory acidosis due to the buildup of CO2 in the blood.

Which level nursery classifications are housed in institutions that can provide on-site surgical repair of serious congenital or acquired malformations?

  • A. Level III
  • B. Level I
  • C. Level IV
  • D. Level II
Correct Answer: C

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

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