ATI RN
ATI Nur 223a Sect 4 Pediatrics Final Exam Questions
Extract:
School-age child who has mild persistent asthma.
Question 1 of 5
A nurse is caring for a school-age child who has mild persistent asthma. Which of the following is an expected finding? (Select all that apply.)
Correct Answer: A,C,E
Rationale:
Choice A: Daytime symptoms more than twice a week are expected.
Choice B: Nighttime symptoms twice a month indicate intermittent asthma.
Choice C: Minor activity limitations are expected.
Choice D: Continuous symptoms indicate severe asthma.
Choice E: PEF ≥80% is expected.
Extract:
School-aged child develops a nosebleed (epistaxis).
Question 2 of 5
A school-aged child develops a nosebleed (epistaxis). Which action should the nurse take?
Correct Answer: C
Rationale: Upright position with pressure on the nose sides stops the bleeding effectively.
Extract:
Nurses Notes (0700hrs): Guardian reports infant has been forcefully vomiting after feedings. Guardian states the emesis is so forceful that it often lands 3 to 4 feet away. Infant is very fussy and rooting and sucks vigorously on a pacifier. Guardian mentions the vomiting started about a week ago and has progressively worsened. Infant has had fewer wet diapers over the past two days. Guardian reports the infant has been crying more than usual and seems uncomfortable. Infant's weight has decreased slightly since the last visit. Vital Signs (0700hrs): Temperature: 37.8°C (100°F), Heart Rate: 160 bpm, Respiratory Rate: 40 breaths per minute, Blood Pressure: 80/50 mmHg, Oxygen Saturation: 98% on room air. Medical History (0700hrs): Full-term infant, born via vaginal delivery. No known allergies. Up-to-date on vaccinations. No previous hospitalizations or surgeries. Family history of gastrointestinal issues. Diagnostic Results (0700hrs): Complete Blood Count (CBC): WBC: 10,000/mm³, Hemoglobin: 12 g/dL, Platelets: 300,000/mm³. Electrolytes: Sodium: 138 mEq/L, Potassium: 4.0 mEq/L, Chloride: 102 mEq/L, Bicarbonate: 22 mEq/L. Physical Examination Results (0700hrs): Abdomen is distended and firm to touch. Visible peristaltic waves observed. No signs of dehydration such as dry mucous membranes or sunken fontanelle. Infant appears irritable and cries during the examination. Bowel sounds are hyperactive. No palpable masses detected. Provider's Prescriptions (0700hrs): NPO (nothing by mouth) status. IV fluids: D5 0.45% NS at 20 mL/hr. Monitor intake and output. Abdominal ultrasound to be performed. Administer ondansetron 0.15 mg/kg IV every 8 hours as needed for vomiting.
Question 3 of 5
Which of the following actions should the nurse take? (Select all that apply)
Correct Answer: C,E
Rationale:
Choice A: FACES Scale is for older children.
Choice B: NPO status prohibits feedings.
Choice C: Head circumference monitors for intracranial issues.
Choice D: No infectious cause for precautions.
Choice E: Weighing monitors dehydration.
Choice F: Enema is inappropriate for vomiting.
Extract:
15-month-old toddler.
Question 4 of 5
A nurse is assessing a 15-month-old toddler. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: Inability to stand without support at 15 months indicates a developmental delay.
Extract:
Child is spitting up small amounts of blood in the immediate postoperative period after a tonsillectomy.
Question 5 of 5
The nurse notices that a child is spitting up small amounts of blood in the immediate postoperative period after a tonsillectomy. What would be the best intervention?
Correct Answer: B
Rationale: Continuing to assess minor bleeding monitors for worsening without invasive actions.