ATI RN
ATI Nur 223a Sect 4 Pediatrics Final Exam Questions
Extract:
Young child and suspects coarctation of the aorta.
Question 1 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:
Nurse is preparing to administer 5% dextrose in 0.45% sodium chloride 1,000 mL IV to infuse over 12 hr.
Question 2 of 5
A nurse is preparing to administer 5% dextrose in 0.45% sodium chloride 1,000 mL IV to infuse over 12 hr. The nurse should set the IV pump to deliver how many mL/hr?
Correct Answer: 83
Rationale: Calculation: 1,000 mL / 12 hr = 83.33 mL/hr, rounded to 83 mL/hr.
Extract:
Parents of a toddler about child development.
Question 3 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:
1-year-old child for vaccines.
Question 4 of 5
A nurse is preparing to administer vaccines to a 1-year-old child. Which of the following vaccines should the nurse give? (Select all that apply)
Correct Answer: A,D,E
Rationale:
Choice A: MMR is given at 12-15 months.
Choice B: Rotavirus is given before 8 months.
Choice C: HPV is for preteens.
Choice D: Varicella is given at 12-15 months.
Choice E: DTaP is given at 15-18 months.
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 5 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.