ATI RN
ATI Nur235 Pediatrics Final Exam Questions
Extract:
8-year-old client diagnosed with acute rheumatic fever.
Question 1 of 5
A nurse is caring for an 8-year-old client who has been diagnosed with acute rheumatic fever. Which action is the nurse's priority for a client with this presentation?
Correct Answer: D
Rationale: The correct answer is D: Auscultating the rate and characteristics of the child's heart sounds. Acute rheumatic fever can lead to rheumatic heart disease, causing damage to the heart valves. Auscultating heart sounds can help identify any murmurs or abnormalities early on, guiding timely intervention. Reviewing CBC (
A) may provide general information but is not as crucial as assessing cardiac function in this case. Using a pain-rating tool (
B) is important but not the priority when the heart's condition is at risk. Assessing an erythematous rash (
C) may indicate other conditions but is not directly related to the cardiac effects of rheumatic fever.
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Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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