ATI RN
ATINur2708 Pediatrics Final Exam Questions
Extract:
14-year-old adolescent admitted with a severe burn injury and shock, receiving IV fluid resuscitation therapy. Assessment findings: Temperature 36.5C, HR 122, Respirations 22, BP 108/68.
Question 1 of 5
A nurse is monitoring a 14 year old adolescent who was admitted with a severe burn injury and shock and is receiving IV fluid resuscitation therapy. Assessment findings: Temperature 36.5C, HR 122, Respirations 22, BP 108/68. The nurse should identify a decrease in which of the following findings as an indication of adequate fluid replacement?
Correct Answer: B
Rationale: B: A decrease in heart rate indicates improved hydration, as tachycardia compensates for hypovolemia in shock.
Extract:
School-age child with full-thickness burns to 30% of the total body surface area (TBSA). Vital Signs: Oral temperature 38° C (100.2°F), Respiratory rate 34/min, Heart rate 115/min, Blood pressure 86/54 mm Hg, SaO2 94%. Medication: Lactated Ringer's IV, Fentanyl 28 mcg IV prn, Silver sulfadiazine topically. Physical Examination: 30% TBSA burns to bilateral lower extremities, 4+ edema, sluggish capillary refill, nonpalpable pedal pulses.
Question 2 of 5
A nurse is initiating the client's plan of care. Complete the following sentence by using the list of options. The client is at highest risk for developing as evidenced by the client's
Correct Answer: A,B
Rationale: A: Acute kidney injury is a risk due to hypoperfusion from burns and shock. B: Monitoring urine output (30 mL/hr goal) assesses renal function, a key indicator of kidney injury risk.
Extract:
10-month-old infant in a cast for developmental dysplasia of the hip (DDH).
Question 3 of 5
A nurse is caring for a 10-month-old infant who is in a cast for developmental dysplasia of the hip (DDH). Which of the following strategies should the nurse implement to promote the infant's growth and development?
Correct Answer: B
Rationale: B: A small electronic toy promotes cognitive and sensory development, suitable for a casted infant.
Extract:
Child who ingested laundry detergent pods (Tide pods).
Question 4 of 5
A nurse is caring for a child who ingested laundry detergent pods (Tide pods). Which of the following assessments is the nurse's priority?
Correct Answer: A
Rationale: A: Respiratory status is the priority due to the risk of aspiration or airway swelling from chemical irritation, which can be life-threatening.
Extract:
Child with juvenile idiopathic arthritis.
Question 5 of 5
When planning the discharge of a child with juvenile idiopathic arthritis, which intervention should the nurse include in the plan of care to promote joint mobility and reduce pain?
Correct Answer: C
Rationale: C: Regular physical activity maintains joint mobility and reduces stiffness, key for managing juvenile idiopathic arthritis.