ATI Nur223g Pediatrics Sect 2 Final Exam | Nurselytic

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ATI Nur223g Pediatrics Sect 2 Final Exam Questions

Extract:

A 2-year-old child in an acute care setting. Vital Signs: A: BP 90/52 mm Hg, heart rate 120/min, respirations 28/min, axillary temperature 37.3°C. B: BP 79/40 mm Hg, heart rate 135/min, respirations 32/min, oral temperature 38°C. C: BP 85/50 mm Hg, heart rate 95/min, respirations 26/min, axillary temperature 36.7°C. D: BP 88/45 mm Hg, heart rate 113/min, respirations 28/min, oral temperature 37.6°C.


Question 1 of 5

A nurse is caring for a 2-year-old child in an acute care setting. Which of the following vital signs require immediate notification to a primary care provider?

Correct Answer: B

Rationale: The correct answer is B. A BP of 79/40 mm Hg is significantly low for a 2-year-old child and requires immediate notification to the primary care provider. This hypotension could indicate poor perfusion and potential shock. Additionally, the elevated heart rate of 135/min and increased respiratory rate of 32/min suggest the body is compensating for decreased blood pressure, further emphasizing the need for prompt intervention. The oral temperature of 38°C may indicate a fever, which, in conjunction with the other vital signs, raises concerns about a possible underlying infection or illness.

Choices A, C, and D have vital signs within normal ranges for a child of this age and do not indicate immediate concern.

Extract:


Question 2 of 5

Correct Answer:

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Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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