Questions 55

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ATI Nurs 150 Pediatric Final Exam 0924 Cohort Questions

Extract:

A client who has diabetes and a new prescription for 14 units of regular insulin and 28 units of NPH insulin


Question 1 of 5

A nurse is caring for a client who has diabetes and a new prescription for 14 units of regular insulin and 28 units of NPH insulin subcutaneously at breakfast daily. What is the total number of units of insulin that the nurse should prepare in the insulin syringe?

Correct Answer: D

Rationale:
Total insulin is 14 units (regular) + 28 units (NPH) = 42 units, prepared in one syringe for a single injection.

Extract:

A 6-week-old infant who has a pyloric stenosis


Question 2 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: B

Rationale: Pyloric stenosis causes narrowing of the pylorus, obstructing food passage and leading to projectile vomiting. Red currant jelly stools are associated with intussusception, distended neck veins with heart failure, and a ridged abdomen is not typical.

Extract:

A child with pediculosis capitis


Question 3 of 5

A school nurse is assessing a child for pediculosis capitis. Which of the following manifestations should the nurse recognize as an indication of this condition?

Correct Answer: B

Rationale: Itching and scratching are classic signs of head lice due to an allergic reaction to lice saliva. Crusts suggest impetigo, white particles are nits, and hair loss is not specific.

Extract:

A toddler


Question 4 of 5

A nurse is reinforcing teaching about nutritional considerations with the parents of a toddler. Which of the following statements by the parents indicates an understanding of the teaching?

Correct Answer: B

Rationale: Nutritional quality is more important than quantity for a toddler’s growth. 3,000 calories is excessive, vitamins should be prescribed, and appetite varies.

Extract:

An adolescent boy with slow onset of recurrent low-grade fever, fatigue, weakness, joint and muscle aches, loss of appetite, weight loss, diaphoresis, new heart murmur, splenomegaly, petechiae, splinter hemorrhages, and Osler nodes


Question 5 of 5

Which of the following Acquired Heart Diseases does this best represent?

Correct Answer: A

Rationale: The symptoms, including fever, murmur, and embolic phenomena like splinter hemorrhages and Osler nodes, are classic for infective endocarditis. Tetralogy of Fallot is congenital, rheumatic fever lacks these embolic signs, and pulmonary hypertension does not present this way.

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