ATI RN
ATI Pediatric Proctored Exam Questions
Question 1 of 5
A young child admitted to the pediatric unit has fever, irritability, and vomiting with suspected bacterial meningitis. Which cerebrospinal fluid (CSF) result should the nurse anticipate based on these data?
Correct Answer: D
Rationale: In bacterial meningitis, the glucose level in the cerebrospinal fluid (CSF) is typically decreased due to the increased utilization of glucose by the infecting bacteria. This metabolic change leads to a decrease in CSF glucose levels, making choice D the correct answer in this scenario.
Question 2 of 5
Which law provides for infants and toddlers aged 0-2 who are in need of comprehensive early intervention services?
Correct Answer: D
Rationale: The correct answer is D, IDEA Part C. IDEA Part C specifically focuses on providing early intervention services to infants and toddlers with disabilities. This law ensures that children aged 0-2 receive the necessary support and services to aid in their development and address any disabilities or developmental delays early on.
Question 3 of 5
A patient in the emergency department reports taking sildenafil (Viagra) and nitroglycerin 1 hr before sexual activity. Which finding should the nurse immediately report to the physician?
Correct Answer: D
Rationale: The correct answer is D: BP of 70/50. When sildenafil (Viagra) is taken with nitroglycerin, it can cause severe hypotension that is unresponsive to treatment. The combination of these medications can lead to a dangerous drop in blood pressure. It is crucial to immediately report hypotension in this scenario. It is recommended to allow at least 24 hours to elapse between the last dose of sildenafil and nitroglycerin to prevent such adverse effects. The other vital signs and lab values may be abnormal but do not have the immediate life-threatening implications that severe hypotension does in this context.
Question 4 of 5
In which frame of reference does the child select activities that involve responses to movement, balance, weight bearing, and tactile activities?
Correct Answer: B
Rationale: Ayres' sensory integration focuses on activities that target responses to movement, balance, weight bearing, and tactile stimuli to improve sensory processing and integration. This approach aims to address sensory challenges through structured activities to enhance overall function and participation.
Question 5 of 5
In the morning, a healthcare professional receives change-of-shift report on four pediatric clients, each of whom has some form of fluid-volume excess. Which of the children should the healthcare professional see first?
Correct Answer: A
Rationale: The child with tachypnea and pulmonary congestion should be seen first as these symptoms indicate a more severe form of fluid-volume excess that requires immediate attention. Tachypnea is an increase in respiratory rate, which could be a sign of respiratory distress, and pulmonary congestion indicates fluid accumulation in the lungs, posing a significant risk to the child's respiratory function.
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