ATI Peds Exam With Verified Questions And ANSWERS

ATI Peds Exam With Verified Questions And ANSWERS A nurse is providing teaching to the guardians of a 4 month old infant on how to play with the infant. Which of the following play activities should the nurse sugget for this infant? A. Show the infant a board book with large pictures. B. Imitate the sounds of different farm animals for the infant. C. Give the infant a large push-pull toy. D. Allow the infant to splash in the bathtub. - Answer D. Rationale: Splashing is appropriate for the developmental age of the infant and provides tactile stimulation. However, the nurse shoud emphasize and teach bath safety to prevent injury. A nurse is providing discharge teaching to parents whose infant had a ventriculoperitoneal shunt placement for the treatment of hydrocephalus. Which of the following statements by the parents indicates an understanding of the teaching? A. "We will chech his abdomen daily for signs of fluid accumulation." B. "We will notifiy the doctor right away if he has a fever." C. "We should keep a helmet on him when he's awake" D. "We can expect him to have occasional seizure episodes." - Answer B. Rationale: Infection is a risk after ventriculoperitoneal shunt insertion, esp 1 to 2 months after placement. The parents should report fevers, vomiting, seizure activity, and decreased responsiveness, as these findings can indicate infections. A nurse is caring for a child with a vesicular rash that has been present for 6 days. The nurse should expect that the child has which of the followig conditions? A. Measles B. Fifth disease C. Tetanus D. Varicella - Answer D. Rationale: Children who has varicella may present first with a maculopapular rash that progresses to vesicles on erythematous bases, which eventually rupture and crust over. A nurse is caring for a school-age child who has glomerulonephritis. The child has decreased urinary output and a blood pressure of 160/78 mmHg and is receiving hydralazine. Which of the following lunch choices should the nurse recommend? A. 1 hotdog, 22 potato chips, and 120 ml (4oz) of orange juice B. 1 sandwich with lettuce, tomato, and 4 slices of bacon; a small apple,; and 240 mL (8oz) of milk C. 3 oz grilled chicken, 1 cup of pear slices, and 120 mL (4oz) of apple juice. D. 1 cup of cottage cheese, a small banana, and 240 mL (8oz) of soda - Answer C. Rationale: Children with glomerulonephritis has moderate sodium restriction, and further restriction is given to foods that are high in potassium for children who have decreased urinary output. These restrictions are because the kidneys of these children are not funtioning appropriately. This menu consist of 571 g of potassium and 268g of sodium. A nurse is assessing a 6-year old child who began treatment for pneumococcal pnemonia 4 days ago. Which of the following findings should the nurse identify as an indication the treatment is effective? A. Dullness with chest percussion B. Heart rate 118/min C. Conjunctival discharge D. Respiratory rate 28/min - Answer B.