ATI RN
ATI Nur223g Pediatrics Sect 2 Final Exam Questions
Extract:
A 3-month-old admitted with severe diarrhea. Yesterday, the infant weighed 11 pounds (5 kg). Today, this infant weighs 9 pounds, 8 ounces (4.3 kg).
Question 1 of 5
A 3-month-old is admitted with severe diarrhea. Based on this information the nurse documents that the infant has:
Correct Answer: A
Rationale: A weight loss of 10% or more in infants within a short period is indicative of severe dehydration. The significant weight loss from 5 kg to 4.3 kg confirms this diagnosis.
Extract:
A child who is experiencing an acute asthma attack.
Question 2 of 5
A nurse in an emergency department is caring for a child who is experiencing an acute asthma attack. Which of the following medications should the nurse expect to administer first?
Correct Answer: B
Rationale: Albuterol is a short-acting beta agonist (SAB
A) used as a first-line treatment for immediate relief during an acute asthma attack.
Extract:
A boy with Tetralogy of Fallot.
Question 3 of 5
The nurse would teach the mother of a boy with Tetralogy of Fallot that if the child suddenly becomes cyanotic and dyspneic, the mother should:
Correct Answer: A
Rationale: The knee-chest position increases systemic vascular resistance, which helps to divert more blood to the pulmonary circulation, improving oxygenation in a child experiencing a 'tet spell' or hypercyanotic episode.
Extract:
An adolescent who has type 1 diabetes mellitus.
Question 4 of 5
A nurse is providing teaching to an adolescent who has type 1 diabetes mellitus. Which of the following should the nurse include in the teaching?
Correct Answer: C
Rationale: Annual influenza vaccination is important for adolescents with type 1 diabetes to prevent infections that can affect blood glucose control.
Extract:
A child with sickle cell anemia.
Question 5 of 5
The nurse is instructing the parents of a child with sickle cell anemia on safety precautions. What should the nurse emphasize during this teaching?
Correct Answer: D
Rationale: Ensuring adequate hydration is crucial for preventing sickle cell crises. Dehydration can increase blood viscosity, leading to sickling of the red blood cells and subsequent pain and complications.