ATI RN
ATI Nur235 Pediatrics Final Exam Questions
Extract:
Infant weighing 16 pounds, 8 ounces with severe dehydration.
Question 1 of 5
An infant weighing 16 pounds, 8 ounces is admitted to the pediatric unit with severe dehydration and requires intravenous (IV) fluid resuscitation. The nurse is preparing to administer a 0.9% normal saline IV fluid bolus of 6 mL/kg to infuse over 2 hours. The nurse should set the IV pump to deliver how many mL/hr?
Correct Answer: A
Rationale: Infant weight (16.5 lb => 7.5 kg); 6 mL/kg = 45 mL; over 2 hours = 22.5 mL/hr, rounded to 23 mL/hr.
Extract:
3-day-old newborn suspected of Hirschsprung disease.
Question 2 of 5
A nurse is caring for a 3-day-old newborn and suspects Hirschsprung disease. What finding best supports the nurse's concern?
Correct Answer: C
Rationale: Failure to pass meconium within 24-48 hours is a classic sign of Hirschsprung disease due to intestinal blockage.
Extract:
7-year-old diagnosed with acute pyelonephritis.
Question 3 of 5
A nurse is assessing a 7-year-old who has been diagnosed with acute pyelonephritis, what assessment finding requires immediate action by the nurse?
Correct Answer: A
Rationale: Hypertension (136/92 mm Hg) in pyelonephritis may indicate severe renal issues, requiring immediate intervention.
Extract:
4-year-old client with drooling, agitation, and inability to cough.
Question 4 of 5
A 4-year-old client presents to the emergency department with drooling, agitation, and inability to cough. The nurse should recognize these findings are associated with which diagnosis?
Correct Answer: D
Rationale: Bacterial epiglottitis is characterized by drooling, agitation, and inability to cough, indicating a life-threatening airway obstruction.
Extract:
13-year-old 2 days post-operative from laparoscopic appendectomy, 37.1°C, pain 3/10, diminished breath sounds in lower lobes.
Question 5 of 5
The nurse is caring for a 13-year-old who is 2 days post-operative from a laparoscopic appendectomy. Upon assessment, the nurse notes the following vital signs: 37,1°C (98.8°F), a pain rating of 3 out of 10, and breath sounds are diminished in the lower lobes. What action should the nurse take first?
Correct Answer: D
Rationale: Incentive spirometry improves lung expansion, addressing diminished breath sounds and preventing atelectasis.