ATI RN
ATI Pediatric Proctored Exam 2023 Questions
Question 1 of 5
The healthcare provider is preparing medication instructions for a child who has undergone a kidney transplant and is prescribed cyclosporine. The parents ask the provider about the reason for the cyclosporine. Which rationale for this medication should the healthcare provider include in the response?
Correct Answer: A
Rationale: Cyclosporine is used to suppress the immune system and prevent rejection of the transplanted kidney. It helps to reduce the risk of the body attacking and rejecting the new organ. This medication is crucial in ensuring the success of the kidney transplant by keeping the immune system in check.
Question 2 of 5
When discussing the correction of hypospadias in a newborn, what does the nurse explain about this condition?
Correct Answer: B
Rationale: Hypospadias is a congenital condition where the opening of the urethra is on the underside of the penis. Surgical repair is the primary treatment for hypospadias and is usually recommended to be done before 18 months of age. This timing is preferred for optimal cosmetic and functional outcomes. Waiting until preschool age for corrective surgery may increase the complexity of the procedure and potential complications. Correcting hypospadias does not impact the risk of testicular cancer.
Question 3 of 5
A nurse administers naloxone (Narcan) to a post-op patient experiencing respiratory sedation. What undesirable effect would the nurse anticipate after giving this medication?
Correct Answer: C
Rationale: Naloxone reverses the effects of narcotics. Although the patient�s respiratory status will improve after administration of naloxone, the pain will be more acute.
Question 4 of 5
Which clinical manifestations should the nurse anticipate when assessing a child admitted to the hospital unit with a diagnosis of minimal change nephrotic syndrome (MCNS)?
Correct Answer: A
Rationale: Minimal change nephrotic syndrome (MCNS) is characterized by massive proteinuria, hypoalbuminemia, and edema. Proteinuria results from the loss of proteins, particularly albumin, in the urine, leading to hypoalbuminemia. The low oncotic pressure due to hypoalbuminemia causes fluid to shift into the interstitial spaces, resulting in edema. These clinical manifestations are classic signs of MCNS and help differentiate it from other renal conditions.
Question 5 of 5
A child is being cared for following a head injury. Which of the following findings should indicate to the healthcare provider that the child is developing diabetes insipidus?
Correct Answer: B
Rationale: In a child with a head injury, the development of diabetes insipidus can occur due to pituitary hypofunction, leading to a deficiency of antidiuretic hormone. An elevated sodium level (hypernatremia) is a key finding in diabetes insipidus due to the excessive loss of free water in the urine, resulting in increased sodium concentration in the blood.
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