ATI RN
ATI Nur223g Pediatrics Sect 2 Final Exam Questions
Extract:
A school-age 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 school-age child who has acute glomerulonephritis with peripheral edema and is producing 35 mL of urine per hour. The nurse should place the client on which of the following diets?
Correct Answer: D
Rationale: A low-sodium, fluid-restricted diet is important in managing edema and fluid retention associated with acute glomerulonephritis.
Extract:
A client who has heart failure and a history of asthma.
Question 2 of 5
The nurse is caring for a client who has heart failure and a history of asthma. The nurse reviews the provider's orders and recognizes that clarification is needed for which of the following medications?
Correct Answer: B
Rationale: Carvedilol is a beta-blocker used to manage heart failure, but it can also cause bronchoconstriction, which is dangerous for clients with asthma. Beta-blockers can exacerbate asthma symptoms, so clarification is needed before administration.
Extract:
Parents of school-age boys.
Question 3 of 5
A nurse is developing a health program for the parents of school-age boys. Which of the following information about pubescent changes should the nurse include in the program?
Correct Answer: A
Rationale: Puberty might be considered delayed if there are no scrotal changes by the age of 11 years, as testicular enlargement is one of the earliest signs of puberty in boys.
Extract:
A 6-year-old child who has bacterial meningitis.
Question 4 of 5
A nurse is planning care for a 6-year-old child who has bacterial meningitis. Which of the following nursing interventions is unnecessary in the client's plan of care?
Correct Answer: D
Rationale: Measuring head circumference every shift is not typically required for a 6-year-old with bacterial meningitis, as it is more relevant in infants where rapid head growth could indicate increased intracranial pressure.
Extract:
Received 4-year-old child with an exacerbation of heart failure. Family reports history of congenital mitral stenosis. Breath sounds with wheezing noted in bilateral lower lobes. Nonproductive cough noted. Dyspnea with respiratory rate 30/min. Oxygen at 2 L/min applied per nasal cannula. Telemetry applied: Sinus rhythm @rate 116/min. Abdomen soft, nontender. Bowel sounds positive all 4 quadrants. Lower extremities with 2+ edema noted. Pedal pulses palpable bilaterally. Peripheral saline lock intact to right forearm with no signs and symptoms of infection, Weight 20 kg (44 lb). Increase in dyspnea noted with orthopnea. Nasal flaring with respiratory rate of 36/min. Lung sounds with wheezing noted throughout. Lower extremity edema 3+ to bilateral lower extremities. Extremities cool with decreased skin pigmentation noted. Peripheral pulses weak bilateral. Jugular vein distention noted. Furosemide 40 mg IV every 6 hr. Administered at 1755. Give digoxin 250mcg IV now. Administered at 1800. Give digoxin 125 mcg 12 hr after initial dose. Administered at 0608. Give digoxin 125 mcg 12 hr after second dose. Administered at 1804. Furosemide 10 mg IV now. Administered at 2020.
Question 5 of 5
A nurse on a cardiac care unit is caring for a preschooler. The client is at risk for developing and
Correct Answer: A,C
Rationale: The child has been administered digoxin, a cardiac glycoside, multiple times. Digitalis toxicity is a risk due to the narrow therapeutic window of digoxin and the potential for adverse effects, especially if there are signs of worsening heart failure or electrolyte imbalances. The administration of furosemide, a loop diuretic, increases the risk of hypokalemia (low potassium levels), which can exacerbate the risk of digitalis toxicity.