ATI RN
ATI Nur 223a Sect 4 Pediatrics Final Exam Questions
Extract:
Infants who have cystic fibrosis.
Question 1 of 5
A nurse is presenting an in-service about the use of postural drainage for infants who have cystic fibrosis. Which of the following positions should the nurse identify as being contraindicated for the infant?
Correct Answer: D
Rationale: Trendelenburg increases reflux and aspiration risk in cystic fibrosis.
Extract:
Conditions associated with tetralogy of Fallot.
Question 2 of 5
Which of the following conditions is commonly associated with tetralogy of Fallot?
Correct Answer: D
Rationale: Tetralogy of Fallot is a congenital heart defect with four heart abnormalities.
Extract:
Child who is experiencing a seizure.
Question 3 of 5
A nurse is caring for a child who is experiencing a seizure. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Positioning laterally maintains an open airway and prevents aspiration.
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 4 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:
6-month-old infant.
Question 5 of 5
A nurse is caring for a 6-month-old infant. Which of the following findings should indicate to the nurse that the client is experiencing pain following a procedure?
Correct Answer: A
Rationale: Increased crying episodes are a common indicator of pain in infants.