Questions 68

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ATI Pediatrics Exam 4 Questions

Extract:

A 2-month-old patient has a history of phimosis


Question 1 of 5

A 2-month-old patient has a history of phimosis. What statement by the father indicates a need for further teaching?

Correct Answer: C

Rationale: Pulling back the foreskin in an infant can cause injury and infection. Phimosis is often normal and does not require forced retraction. A, B, and D are accurate or reasonable.

Extract:

A school-age child in acute renal failure or reduced glomerular filtration rate


Question 2 of 5

The nurses admitting a school-age child in acute renal failure or reduced glomerular filtration rate. Which urine test is the most useful clinical indication of glomerular filtration rate?

Correct Answer: B

Rationale: Creatinine levels in urine and blood directly reflect glomerular filtration rate, as it is filtered and excreted by the kidneys. A, C, and D are less specific.

Extract:

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


Question 3 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 school-age child in acute renal failure or reduced glomerular filtration rate


Question 4 of 5

The nurses admitting a school-age child in acute renal failure or reduced glomerular filtration rate. Which urine test is the most useful clinical indication of glomerular filtration rate?

Correct Answer: B

Rationale: Creatinine levels in urine and blood directly reflect glomerular filtration rate, as it is filtered and excreted by the kidneys. A, C, and D are less specific.

Extract:

A 4-month-old with a history of ventricular septal defect admitted for failure to thrive


Question 5 of 5

The nurse is caring for a 4-month-old with a history of ventricular septal defect. The infant is admitted for failure to thrive. What supportive measure would the nurse anticipate in an infant with congestive heart failure?

Correct Answer: A

Rationale: Increased caloric density of formula addresses the high caloric needs due to heart failure, supporting growth. B, C, and D are not primary interventions for failure to thrive.

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