ATI RN
ATI Nur223g Pediatrics Sect 2 Final Exam Questions
Extract:
A child who is having a tonic-clonic seizure and vomiting.
Question 1 of 5
A nurse is caring for a child who is having a tonic-clonic seizure and vomiting. Which of the following actions is the nurse's priority?
Correct Answer: C
Rationale: Positioning the child side-lying is the priority because it helps maintain an open airway and reduces the risk of aspiration of vomit during the seizure. Protecting the airway is the most critical intervention in this scenario.
Extract:
A school-age child who has type 1 diabetes mellitus.
Question 2 of 5
A nurse is teaching a school-age child who has type 1 diabetes mellitus and his parents about illness management. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Testing urine for ketones is important during illness as it can indicate the presence of ketoacidosis, a potentially life-threatening complication in children with type 1 diabetes.
Extract:
A 15-month-old toddler.
Question 3 of 5
A nurse is assessing a 15-month-old toddler. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: By 15 months, a toddler should be able to stand upright without support. Failure to do so could indicate a delay in motor development.
Extract:
A 2-month-old infant who is postoperative following surgical repair of a cleft lip.
Question 4 of 5
A nurse is caring 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?
Correct Answer: D
Rationale: Encouraging the parents to rock the infant provides comfort and soothes the baby without risking harm to the surgical site. Parental involvement also helps with bonding and emotional support during recovery.
Extract:
Received 4-year-old child with an exacerbation of heart failure. Family reports history of congenital mitral stenosis. Breath sounds with wheezing noted in bilateral lower lobes. Nonproductive cough noted. Dyspnea with respiratory rate 30/min. Oxygen at 2 L/min applied per nasal cannula. Telemetry applied: Sinus rhythm @rate 116/min. Abdomen soft, nontender. Bowel sounds positive all 4 quadrants. Lower extremities with 2+ edema noted. Pedal pulses palpable bilaterally. Peripheral saline lock intact to right forearm with no signs and symptoms of infection, Weight 20 kg (44 lb). Increase in dyspnea noted with orthopnea. Nasal flaring with respiratory rate of 36/min. Lung sounds with wheezing noted throughout. Lower extremity edema 3+ to bilateral lower extremities. Extremities cool with decreased skin pigmentation noted. Peripheral pulses weak bilateral. Jugular vein distention noted. Furosemide 40 mg IV every 6 hr. Administered at 1755. Give digoxin 250mcg IV now. Administered at 1800. Give digoxin 125 mcg 12 hr after initial dose. Administered at 0608. Give digoxin 125 mcg 12 hr after second dose. Administered at 1804. Furosemide 10 mg IV now. Administered at 2020.
Question 5 of 5
A nurse on a cardiac care unit is caring for a preschooler. The client is at risk for developing and
Correct Answer: A,C
Rationale: The child has been administered digoxin, a cardiac glycoside, multiple times. Digitalis toxicity is a risk due to the narrow therapeutic window of digoxin and the potential for adverse effects, especially if there are signs of worsening heart failure or electrolyte imbalances. The administration of furosemide, a loop diuretic, increases the risk of hypokalemia (low potassium levels), which can exacerbate the risk of digitalis toxicity.