ATI RN
ATI Nur 223a Sect 4 Pediatrics Final Exam Questions
Extract:
3-year-old child and suspects developmental delay.
Question 1 of 5
A nurse is assessing a 3-year-old child and suspects the child may have a developmental delay. Which of the following actions is a priority for the nurse to take?
Correct Answer: D
Rationale: Discussing findings with the provider ensures proper evaluation and intervention.
Extract:
Conditions associated with tetralogy of Fallot.
Question 2 of 5
Which of the following conditions is commonly associated with tetralogy of Fallot?
Correct Answer: D
Rationale: Tetralogy of Fallot is a congenital heart defect with four heart abnormalities.
Extract:
Young child and suspects coarctation of the aorta.
Question 3 of 5
A nurse is assessing a young child and suspects coarctation of the aorta based on which finding?
Correct Answer: D
Rationale: Unequal pulses are a key finding in coarctation of the aorta.
Extract:
Client who is postoperative following an appendectomy and is prescribed lactated Ringer's at 150 mL/hr by continuous IV infusion for 12 hr. The drop factor of the manual IV tubing is 20 gtt/mL.
Question 4 of 5
A nurse is caring for a client who is postoperative following an appendectomy and is prescribed lactated Ringer's at 150 mL/hr by continuous IV infusion for 12 hr. The drop factor of the manual IV tubing is 20 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min?
Correct Answer: 50
Rationale: Calculation: (150 mL/hr × 20 gtt/mL) / 60 min = 50 gtt/min.
Extract:
Medical History: Diagnosis: Bilateral pneumonia, Past medical history: Cystic fibrosis, Plan: Aggressive airway clearance therapy, intravenous antibiotic therapy. Nurses Notes: 0700 hrs: Caregiver reports child has had increased coughing, fatigue, and a poor appetite for the past several days. Wheezing and rhonchi auscultated bilaterally. Respirations labored with accessory muscle use. Frequent cough productive with thick, yellow blood-streaked sputum. Dyspnea noted with activity. Child reports “a bit of a stomachache†and rates the discomfort as 3 on a scale of 0 to 10. Abdomen soft and non-tender to palpation. Active bowel sounds auscultated. 0900 hrs: Respirations rapid with accessory muscle use. Dyspnea noted while at rest. Frequent cough. Thick yellow sputum expectorated following airway clearance therapy. Child reports chest discomfort as 4 on a scale of 0 to 10. Child consumes approximately 50% of meals. Denies abdominal pain. Passed three large, frothy, foul-smelling stools. Vital Signs: 0700 hrs: Oral temperature: 39.1°C (102.4°F), Heart rate: 116/min, Respiratory rate: 32/min, Blood pressure: 102/60 mm Hg, Oxygen saturation: 95% on room air. 0900 hrs: Oral temperature: 38.1°C (100.6°F), Heart rate: 128/min, Respiratory rate: 32/min, Blood pressure: 88/48 mm Hg, Oxygen saturation: 88% on room air. Diagnostic Results: 0900 hrs: Chest X-ray: Bilateral infiltrates consistent with pneumonia, CBC: WBC: 15,000/mm³, Hemoglobin: 11 g/dL, Platelets: 250,000/mm³.
Question 5 of 5
Which of the following assessment findings should the nurse report to the provider? (Select all that apply)
Correct Answer: A,B,E
Rationale:
Choice A: 88% oxygen saturation indicates hypoxemia, requiring intervention.
Choice B: Heart rate of 128/min suggests increased work of breathing or distress.
Choice C: Chest discomfort is less critical than other findings.
Choice D: Elevated WBC is expected with pneumonia.
Choice E: Frothy stools indicate malabsorption, significant in cystic fibrosis.