ATI RN
ATI Nurs 150 Pediatric Final Exam 0924 Cohort Questions
Extract:
A child who has nephrotic syndrome
Question 1 of 5
A nurse is assessing a child who has nephrotic syndrome. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Facial edema is a hallmark of nephrotic syndrome due to proteinuria and hypoalbuminemia. Hypertension is not consistent, smokey brown urine suggests other conditions, and oliguria, not polyuria, is typical.
Extract:
A preschooler receiving a vaccine into the deltoid muscle
Question 2 of 5
A nurse is preparing to administer a vaccine into the deltoid muscle of a preschooler. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: A 1.8 mm needle is appropriate for pediatric deltoid injections to avoid deep penetration. A 15° angle is for intradermal injections, the needle should be inserted 2-3 finger widths below the acromion, and a smaller gauge (22-23) is preferred to reduce discomfort.
Extract:
A child with suspected acute rheumatic fever
Question 3 of 5
A nurse is obtaining a health history from a child who has suspected acute rheumatic fever. Which of the following questions should the nurse ask?
Correct Answer: D
Rationale: A recent sore throat suggests a streptococcal infection, a common precursor to rheumatic fever. Congenital defects, injuries, and aspirin use are less relevant.
Extract:
A 5-year-old child who has sickle cell anemia with joint pain, low-grade fever, recent upper respiratory infection, chest pain, nasal flaring, retractions, and wheezes
Question 4 of 5
Which of the following assessment findings require additional action by the nurse?
Correct Answer: A,B,C
Rationale: Chest pain, respiratory distress (nasal flaring, retractions), and wheezes suggest complications like acute chest syndrome, requiring immediate action.
Extract:
A child who has nephrotic syndrome
Question 5 of 5
A nurse is assessing a child who has nephrotic syndrome. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Facial edema is a hallmark of nephrotic syndrome due to proteinuria and hypoalbuminemia. Hypertension is not consistent, smokey brown urine suggests other conditions, and oliguria, not polyuria, is typical.