ATI RN
ATI Nur223g Pediatrics Sect 2 Final Exam Questions
Extract:
An 8-year-old child who has acute rheumatic fever.
Question 1 of 5
A nurse is caring for an 8-year-old child who has acute rheumatic fever. Which of the following assessments is the nurse's priority immediately after admission?
Correct Answer: B
Rationale: Auscultating the rate and characteristics of the child's heart sounds is the priority assessment because acute rheumatic fever can cause carditis, which affects the heart valves and can lead to serious complications. Early detection of any cardiac involvement is crucial for timely intervention and management.
Extract:
An infant who has a 2-day history of vomiting and an elevated temperature.
Question 2 of 5
A nurse in an emergency department is caring for an infant who has a 2-day history of vomiting and an elevated temperature. Which of the following should the nurse recognize as the most reliable indicator of fluid loss?
Correct Answer: B
Rationale: Body weight is the most reliable indicator of fluid loss, as it directly reflects changes in body fluid levels.
Extract:
A 6-week-old infant who has a pyloric stenosis.
Question 3 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 toddler with temper tantrums.
Question 4 of 5
A nurse is teaching the parents of a toddler about temper tantrums. Which of the following manifestations should the nurse include in the teaching?
Correct Answer: D
Rationale: Temper tantrums are a normal developmental phase where toddlers express frustration and attempt to gain control of their environment.
Extract:
A school-aged child receiving a transfusion of packed red blood cells, begins to experience itchy skin.
Question 5 of 5
While receiving a transfusion of packed red blood cells, a school-aged child begins to experience itchy skin, hiver a tonsillectomy. What should the nurse do first for this child?
Correct Answer: B
Rationale: Stopping the transfusion is the first step in managing a transfusion reaction to prevent further exposure to the allergen or irritant causing the symptoms.