Cardiovascular changes that cause the foramen ovale to close at birth are a direct result of

Questions 56

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Pediatric Nursing ATI Practice Questions Questions

Question 1 of 9

Cardiovascular changes that cause the foramen ovale to close at birth are a direct result of

Correct Answer: B

Rationale: Increased pressure in the left atrium B closes the foramen ovale post-birth, per document 6.

Question 2 of 9

The most common site for temperature in a 4-year-old is

Correct Answer: A

Rationale: Axillary A is safest for young children, per document p55, 8.

Question 3 of 9

A 2-month-old boy appears with chronic cough and failure to thrive. Physical examination reveals bilateral coarse crackles and clubbing. Sweat chloride test is positive. Most likely diagnosis is:

Correct Answer: D

Rationale: Cystic fibrosis fits chronic cough, failure to thrive, crackles, clubbing, and positive sweat test, per CFF. A-C, E don’t match.

Question 4 of 9

A 2-month-old infant presents with tachypnea and poor feeding. Echocardiogram shows a large atrial septal defect. The next step is:

Correct Answer: B

Rationale: Diuretics manage heart failure in large ASDs, per AHA. A, C-E depend on severity.

Question 5 of 9

The nurse determines a parent is administering levothyroxine (Synthroid) correctly when she states which of the following?

Correct Answer: C

Rationale: Levothyroxine should be given consistently at the same time daily, ideally morning (C), for steady thyroid levels. Stopping (A), skipping (B), or switching brands (D) disrupts efficacy. Document: 'Synthroid should be given at the same time each day, preferably in the morning.'

Question 6 of 9

A maculopapular rash with a red base and a small white papule in the center is

Correct Answer: B

Rationale: Erythema toxicum B is a common newborn rash with this description, per document p5, 3.

Question 7 of 9

A 15-year-old boy was playing soccer. He developed wheezing and shortness of breath. Physical examination reveals bilateral wheezing and respiratory distress. Most likely diagnosis is:

Correct Answer: B

Rationale: Exercise-induced asthma is likely in a teen with exertion-triggered wheezing (ATS). A, C-E are less consistent with the scenario.

Question 8 of 9

A 6-month-old should receive which immunization?

Correct Answer: A

Rationale: DPT, OPV, Hep B A align with 6-month schedule, per document p20, .

Question 9 of 9

A 3-year-old girl presents with fever and a stiff neck. CSF shows gram-positive cocci. Most likely diagnosis is:

Correct Answer: B

Rationale: S. pneumoniae meningitis features gram-positive cocci, per AAP. A, C-E differ.

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