ATI RN
ATI Nur 223a Sect 4 Pediatrics Final Exam Questions
Extract:
Vital Signs (0700 hrs): Temperature: 36.7°C (98.0°F), Pulse rate: 114/min, Respiratory rate: 30/min, Blood pressure: 92/66 mm Hg, Oxygen saturation: 90%. Medication Administration Record (0700 hrs): Furosemide 40 mg IV every 6 hr. Administered at 0600. Digoxin 250 mcg IV now. Administered at 0600. Physical Examination Results (0700 hrs): Jugular vein distention noted. Lower extremity edema 2+ bilaterally. Extremities cool with decreased skin pigmentation. Peripheral pulses weak bilaterally. Lung sounds with wheezing noted throughout. Diagnostic Results (0700 hrs): Chest X-ray: Cardiomegaly noted. Echocardiogram: Left ventricular hypertrophy, mitral valve stenosis. BNP: 1200 pg/mL.
Question 1 of 5
Based on the information provided, what is the most appropriate initial nursing action?
Correct Answer: D
Rationale: Repositioning to high Fowler's position improves lung expansion and reduces breathing effort, addressing immediate respiratory distress due to fluid overload.
Extract:
12-year-old child who is newly diagnosed with asthma.
Question 2 of 5
A nurse is teaching a 12-year-old child who is newly diagnosed with asthma about managing the condition to prevent asthma attacks. Which of the following statements by the child should indicate to the nurse that the teaching has been effective?
Correct Answer: C
Rationale: Eliminating allergens prevents asthma attacks, indicating effective teaching.
Extract:
Client for hypoxemia during an asthma attack.
Question 3 of 5
A nurse is assessing a client for hypoxemia during an asthma attack. Which of the following manifestations should the nurse expect?
Correct Answer: D
Rationale: Agitation is a common sign of hypoxemia due to oxygen deficiency.
Extract:
Parents of school-age boys.
Question 4 of 5
A nurse is developing a health program for the parents of school-age boys. Which of the following information about pubescent changes should the nurse include in the program?
Correct Answer: C
Rationale: Growth spurts typically occur toward the end of mid-puberty.
Extract:
3-year-old child and suspects developmental delay.
Question 5 of 5
A nurse is assessing a 3-year-old child and suspects the child may have a developmental delay. Which of the following actions is a priority for the nurse to take?
Correct Answer: D
Rationale: Discussing findings with the provider ensures proper evaluation and intervention.