Questions 68

ATI RN

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ATI Pediatrics Exam 4 Questions

Extract:

A patient is to receive a 1000 mL 0.9% NS bag at 20 mL/hr for 24 hours.


Question 1 of 5

A 1000 mL 0.9% NS bag is to be administered to a patient at 20 mL/hr. The patient is to receive this solution for hours. How many mL will the patient receive? (Round to the nearest whole number)

Correct Answer: 480 mL

Rationale:
Total volume = 20 mL/hr × 24 hr = 480 mL, as per the infusion rate and duration.

Extract:

A child with patent ductus arteriosus (PDA)


Question 2 of 5

Surgical repair for patent ductus arteriosus (PDA) is done to prevent the complication of

Correct Answer: A

Rationale: PDA repair prevents increased pulmonary vascular congestion from left-to-right shunting, which can lead to pulmonary hypertension. B, C, and D are not primary complications.

Extract:

Children with coarctation of the aorta, aortic stenosis, and pulmonic stenosis


Question 3 of 5

Coarctation of the aorta, aortic stenosis, and pulmonic stenosis are congenital heart defects in which category?

Correct Answer: A

Rationale: These defects involve narrowing that obstructs blood flow, classifying them as obstructive defects. B, C, and D describe other categories.

Extract:

A 10-year-old has undergone a cardiac catheterization.


Question 4 of 5

At the end of the procedure, the nurse should first assess

Correct Answer: B

Rationale: Assessing pulses first ensures adequate blood flow and detects vascular complications like thrombosis post-catheterization. A, C, and D are secondary assessments.

Extract:

An 8-month-old infant has a hypercyanotic spell while blood is being drawn.


Question 5 of 5

What is the priority nursing action?

Correct Answer: B

Rationale: Placing the child in the knee-chest position increases systemic vascular resistance and reduces right-to-left shunting, improving oxygenation during a hypercyanotic spell. A, C, and D are not immediate priorities.

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