ATI RN
ATI Pediatric Proctored Exam 2023
1. 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?
- A. Urine specific gravity of 1.045
- B. Sodium level of 155
- C. Blood glucose level of 45
- D. Urine output of 35 ml per hour
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.
2. What does a Z-score of -3.00 indicate?
- A. The child's score indicates he is ahead of his peers and performing well
- B. The child's score places him within normal limits on this test item
- C. The test is inconclusive
- D. The child's score falls below the majority of his peers on this test
Correct answer: D
Rationale: A Z-score of -3.00 indicates that the child's performance is significantly below the average of their peers. It represents an extreme low score, indicating a substantial deviation from the mean performance of the group.
3. A nurse is planning care for a 2-month-old infant who is postoperative following surgical repair of a cleft lip. Which of the following actions should the nurse take?
- A. Position the infant on his abdomen
- B. Cleanse the incision site with hydrogen peroxide
- C. Offer the infant a pacifier
- D. Keep the infant's elbow restrained
Correct answer: D
Rationale:
4. Which statement is not part of the developmental care approach?
- A. Family-centered care
- B. Care on a sliding payment scale
- C. Healing environment
- D. Protected sleep
Correct answer: B
Rationale: The developmental care approach emphasizes creating an environment that supports the infant's developmental needs, including family-centered care, a healing environment, and promoting protected sleep. Payment scale considerations are not a component of developmental care.
5. The nurse plans to closely monitor for which clinical manifestation after administering furosemide (Lasix)?
- A. Decrease pulse
- B. Decrease temperature
- C. Decrease BP
- D. Decrease respiratory rate.
Correct answer: C
Rationale: High-ceiling diuretics, such as furosemide, are the most effective diuretic agents. They produce more loss of fluid and electrolytes than any others. A sudden loss of fluid can result in decreased BP. When BP drops, the pulse will probably increase rather than decrease.
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