ATI RN
ATI Nur223g Pediatrics Sect 2 Final Exam Questions
Extract:
A school-aged child diagnosed with streptococcal pharyngitis.
Question 1 of 5
A school-aged child is diagnosed with streptococcal pharyngitis. What of the following clinical manifestations should the nurse expect?
Correct Answer: C
Rationale: Completing the entire course of antibiotics is crucial to prevent complications such as rheumatic fever and glomerulonephritis.
Extract:
An adolescent who has type 1 diabetes mellitus.
Question 2 of 5
A nurse is providing teaching to an adolescent who has type 1 diabetes mellitus. Which of the following should the nurse include in the teaching?
Correct Answer: C
Rationale: Annual influenza vaccination is important for adolescents with type 1 diabetes to prevent infections that can affect blood glucose control.
Extract:
Administer 5% dextrose in 0.45% sodium chloride 1,000 mL IV to infuse over 12 hr.
Question 3 of 5
A nurse is preparing to administer 5% dextrose in 0.45% sodium chloride 1,000 mL IV to infuse over 12 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: A
Rationale:
To calculate the infusion rate, divide the total volume (1,000 mL) by the infusion time (12 hours): 1,000 ÷ 12 = 83.33 mL/hr. Rounded to the nearest whole number, the rate is 83 mL/hr.
Extract:
An 8-year-old child who has acute rheumatic fever.
Question 4 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:
A school-age child who has a new diagnosis of type 1 diabetes mellitus.
Question 5 of 5
A nurse is providing teaching to a school-age child who has a new diagnosis of type 1 diabetes mellitus. Which of the following statements by the child indicates an understanding of the teaching?
Correct Answer: D
Rationale: Eating a snack before physical activity is crucial to prevent hypoglycemia, especially in a child with type 1 diabetes. This response shows an understanding of managing blood glucose during exercise.