ATI RN
ATI Nur223g Pediatrics Sect 2 Final Exam Questions
Extract:
A child who has acute glomerulonephritis with peripheral edema and is producing 35 mL of urine per hour.
Question 1 of 5
A nurse is caring for a child who has acute glomerulonephritis. Which of the following actions is the nurse's priority?
Correct Answer: B
Rationale: Checking the child's daily weight is a priority to monitor for fluid retention and changes in fluid status, critical in managing acute glomerulonephritis.
Extract:
A 5-year-old child has a cardiac catheterization via the femoral artery.
Question 2 of 5
A 5-year-old child has a cardiac catheterization via the femoral artery. Which assessment would be most important to complete after the procedure?
Correct Answer: C
Rationale: Checking pedal pulses frequently is crucial after cardiac catheterization via the femoral artery to monitor for complications such as reduced blood flow or clot formation at the insertion site.
Extract:
Administer 5% dextrose in 0.45% sodium chloride 1,000 mL IV to infuse over 12 hr.
Question 3 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? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: A
Rationale:
To calculate the infusion rate, divide the total volume (1,000 mL) by the infusion time (12 hours): 1,000 ÷ 12 = 83.33 mL/hr. Rounded to the nearest whole number, the rate is 83 mL/hr.
Extract:
A 6-week-old infant who has a pyloric stenosis.
Question 4 of 5
A nurse is caring for a 6-week-old infant who has a pyloric stenosis. Which of the following clinical manifestations should the nurse expect?
Correct Answer: A
Rationale: Projectile vomiting is a classic sign of pyloric stenosis due to the obstruction of the pylorus, preventing normal stomach emptying.
Extract:
A 13-year-old client with right lower quadrant abdominal pain, nausea, and fever. Client reports pain around belly button the previous evening, now in right lower quadrant. Abdomen soft with tenderness to palpation in right lower quadrant. Verbalizes increase in pain when right hip is flexed and rotated internally. Rates pain as 6 on a 0 to 10 pain scale. Client reports increase in right lower quadrant pain, rating pain as 9 on a 0 to 10 pain scale. Vomits 50 ml gastric contents into basin. WBC count 22,000/mm3, C-Reactive Protein 1.8 mg/dL.
Question 5 of 5
A nurse in the emergency department (ED) is caring for a 13-year-old client who presented with right lower quadrant abdominal pain, nausea, and fever. The nurse has notified the provider of the client's 0700 assessment data and lab results. Which of the following prescriptions should the nurse anticipate? (Select all that apply.)
Correct Answer: A,B,E,F
Rationale: Given the client's symptoms and elevated WBC count indicating a possible infection, IV antibiotics are anticipated. Maintaining NPO status is necessary for potential surgery. Informed consent is required for surgical procedures like appendectomy. An abdominal ultrasound helps confirm appendicitis.