Questions 68

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ATI Pediatrics Exam 4 Questions

Extract:

A 5-year-old patient with peripheral edema, blood pressure of 112/70, potassium level of 4.7, diarrhea, oliguria


Question 1 of 5

A 5-year-old patient is brought into the Emergency Room and is diagnosed with an Acute Kidney Injury (AKI). Which findings indicate this diagnosis?

Correct Answer: A,E

Rationale: Peripheral edema and oliguria are key signs of AKI, indicating fluid retention and reduced urine output. B, C, and D are not specific to AKI.

Extract:

Children with congenital heart diseases


Question 2 of 5

Which of the following congenital heart diseases require multiple surgeries to correct? (Select All that Apply)

Correct Answer: A,B,E

Rationale: Tetralogy of Fallot, Hypoplastic Left Heart Syndrome, and Coarctation of the Aorta often require multiple surgeries due to their complexity. C and D typically need single interventions or may resolve spontaneously.

Extract:

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


Question 3 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:

Archie who weighs 44 lb has been given an order for amoxicillin 500 mg bid to take before a dentist appointment based on his history of infective endocarditis. The drug test shows that the daily dose of amoxicillin is 50 mg/kg/day in two divided doses.


Question 4 of 5

What dose in milligrams is safest for this child?

Correct Answer: A

Rationale: Archie's weight (44 lb = 19.96 kg) at 50 mg/kg/day yields 998 mg/day, or 499 mg per dose. The prescribed 500 mg is safe and closest to the calculated dose. B, C, and D deviate significantly.

Extract:

A 2-day-old baby boy diagnosed with hypospadias


Question 5 of 5

A nurse on a mother-baby unit is caring for a 2-day-old baby boy. The patient was seen by a urologist at 0000 and was diagnosed with hypospadias. Which order by the pediatrician is contraindicated?

Correct Answer: D

Rationale: Circumcision is contraindicated in hypospadias, as the foreskin may be needed for surgical repair. A, B, and C are appropriate.

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