ATI RN
ATI Nur223g Pediatrics Sect 2 Final Exam Questions
Extract:
A client who is postoperative following an appendectomy and is prescribed D, lactated Ringer's at 150 mL/hr by continuous IV Infusion for 12 hr. The drop factor of the manual IV tubing is 20 gtt/mL.
Question 1 of 5
A nurse is caring for a client who is postoperative following an appendectomy and is prescribed D, lactated Ringer's at 150 mL/hr by continuous IV Infusion for 12 hr. The drop factor of the manual IV tubing is 20 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (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: Calculate: (150 mL * 20 gtt/mL) / 720 min = 4.1666 gtt/min, rounded to 4 gtt/min.
Extract:
A 10-year-old child who will be hospitalized for an extended period of time.
Question 2 of 5
A nurse is planning care for a 10-year-old child who will be hospitalized for an extended period of time. Which of the following actions should the nurse include in the plan of care to meet the client's psychosocial needs according to Erikson?
Correct Answer: C
Rationale: Encouraging the child to complete school work helps maintain a sense of normalcy and supports the child's need for achievement and competence, central to Erikson's stage of industry vs. inferiority.
Extract:
A 3-month-old admitted with severe diarrhea. Yesterday, the infant weighed 11 pounds (5 kg). Today, this infant weighs 9 pounds, 8 ounces (4.3 kg).
Question 3 of 5
A 3-month-old is admitted with severe diarrhea. Based on this information the nurse documents that the infant has:
Correct Answer: A
Rationale: A weight loss of 10% or more in infants within a short period is indicative of severe dehydration. The significant weight loss from 5 kg to 4.3 kg confirms this diagnosis.
Extract:
A child with polycythemia caused by a congenital heart disorder.
Question 4 of 5
Which health teaching concept should the nurse emphasize when instructing the parents of a child with polycythemia caused by a congenital heart disorder?
Correct Answer: D
Rationale: Preventing dehydration is essential as it helps maintain adequate blood flow and reduces the risk of thrombotic events in a child with polycythemia.
Extract:
A child who has acute glomerulonephritis with peripheral edema and is producing 35 mL of urine per hour.
Question 5 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.