ATI Nursing Proctored Pediatric Test Banks

ATI Nursing Proctored Pediatric Test Banks Related

Review ATI Nursing Proctored Pediatric Test Banks related questions and content

Which is the most reliable method for monitoring fluid balance?

  • A. Daily intake and output
  • B. Vital signs
  • C. Daily weight
  • D. Skin turgor
Correct Answer: A

Rationale: Monitoring daily intake and output is the most reliable method for assessing fluid balance in a patient. By accurately measuring the amount of fluids taken in through foods, drinks, and IV fluids, as well as the amount of fluids eliminated through urine, stool, vomit, and other means, healthcare providers can closely track the body's fluid balance. Discrepancies between intake and output can indicate potential issues such as dehydration or fluid overload. This method provides quantitative data that can guide appropriate interventions and treatment adjustments to maintain the patient's fluid balance within normal limits. While vital signs, daily weight, and skin turgor are also important indicators of fluid status, they may not always provide as specific or accurate information as the direct measurement of intake and output.

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Extraneural metastasis from primary brain tumors is MOST commonly likely to occur in which tumor?

  • A. medulloblastoma
  • B. primitive neuroectodermal tumor (PNET)
  • C. ependymoma
  • D. malignant glioma
Correct Answer: A

Rationale: Medulloblastoma is notorious for extraneural spread, particularly to bones and bone marrow.

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.

A 14-year-old boy is being admitted to the hospital for an appendectomy. Which roommate should the nurse assign with this patient?

  • A. A 4-year-old boy post-appendectomy surgery
  • B. A 6-year-old boy with pneumonia
  • C. A 15-year-old boy admitted with a vasoocclusive sickle cell crisis
  • D. A 12-year-old boy with cellulitis
Correct Answer: C

Rationale: The nurse should assign the 14-year-old boy recovering from an appendectomy to Roommate C, the 15-year-old boy admitted with a vasoocclusive sickle cell crisis. This decision is based on providing similar age groups and conditions for mutual support and understanding. Both patients are teenagers and are experiencing health challenges that involve pain management and supportive care. This pairing can offer emotional and social benefits as they navigate their hospital stay together. It is important to consider factors like age, condition, and potential social interactions when assigning roommates in a healthcare setting to promote a positive environment for healing and recovery.

The client is suspected of having myasthenia gravis. Edrophonium (Tensilon) 2 mg is administered intravenously to determine the diagnosis. Which of the following indicates that the client has myasthenia gravis?

  • A. Joint pain following administration of the medication
  • B. Feelings of faintness, dizziness, hypotension, and signs of flushing in the client
  • C. A decrease in muscle strength within 30 to 60 seconds following administration of the medication.
  • D. An increase in muscle strength within 30 to 60 seconds following administration of the medication
Correct Answer: D

Rationale: Edrophonium (Tensilon) is a short-acting cholinesterase inhibitor used in the Tensilon test to aid in the diagnosis of myasthenia gravis. In patients with myasthenia gravis, there is a deficiency of acetylcholine at the neuromuscular junction, leading to muscle weakness. By inhibiting the breakdown of acetylcholine, edrophonium temporarily increases the availability of acetylcholine at the neuromuscular junction.

Which of the following organisms is responsible for the development of rheumatic fever?

  • A. Streptococcal pneumonia
  • B. Haemophilus influenza
  • C. Group Aß-hemolytic streptococcus
  • D. Staphylococcus aureus
Correct Answer: C

Rationale: Rheumatic fever is an inflammatory disease that can develop after an untreated or inadequately treated infection with group Aß-hemolytic streptococcus bacteria, particularly Streptococcus pyogenes. This bacteria causes strep throat, which if left untreated, can lead to complications such as rheumatic fever. Rheumatic fever primarily affects the heart, joints, skin, and brain. It is important to promptly treat streptococcal infections with antibiotics to prevent the development of rheumatic fever.

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