ATI RN
ATI Nur 223a Sect 4 Pediatrics Final Exam Questions
Extract:
Infant who has severe dehydration from acute gastroenteritis.
Question 1 of 5
A nurse is admitting an infant who has severe dehydration from acute gastroenteritis. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: 13% weight loss indicates severe dehydration in infants.
Extract:
Parents of a toddler about child development.
Question 2 of 5
A nurse is providing anticipatory guidance about child development to the parents of a toddler. Which of the following developmental tasks should the nurse include as expected of a toddler?
Correct Answer: D
Rationale: Separating easily from caregivers indicates developing independence.
Extract:
Vital Signs (0700 hrs): Temperature: 36.7°C (98.0°F), Pulse rate: 114/min, Respiratory rate: 30/min, Blood pressure: 92/66 mm Hg, Oxygen saturation: 90%. Medication Administration Record (0700 hrs): Furosemide 40 mg IV every 6 hr. Administered at 0600. Digoxin 250 mcg IV now. Administered at 0600. Physical Examination Results (0700 hrs): Jugular vein distention noted. Lower extremity edema 2+ bilaterally. Extremities cool with decreased skin pigmentation. Peripheral pulses weak bilaterally. Lung sounds with wheezing noted throughout. Diagnostic Results (0700 hrs): Chest X-ray: Cardiomegaly noted. Echocardiogram: Left ventricular hypertrophy, mitral valve stenosis. BNP: 1200 pg/mL.
Question 3 of 5
Based on the information provided, what is the most appropriate initial nursing action?
Correct Answer: D
Rationale: Repositioning to high Fowler's position improves lung expansion and reduces breathing effort, addressing immediate respiratory distress due to fluid overload.
Extract:
Child with type I diabetes mellitus receiving short-acting and long-acting insulin.
Question 4 of 5
The nurse is teaching a child with type I diabetes mellitus to administer insulin. The child is receiving a combination of short-acting and long-acting insulin. The nurse knows that the child has appropriately learned the technique when the child:
Correct Answer: B
Rationale: Drawing short-acting insulin first prevents contamination of the vial.
Extract:
Parents of a toddler about temper tantrums.
Question 5 of 5
A nurse is teaching the parents of a toddler about temper tantrums. Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale: Tantrums are attempts to gain control, a normal developmental behavior.