ATI RN
ATI Pediatrics Exam 4 Questions
Extract:
A 6-year-old female patient with leukocytes, nitrates, blood in urine, pH 6.5, specific gravity 1.020
Question 1 of 5
Based on the patient's presentation, what would the nurse anticipate her diagnosis to be?
Correct Answer: C
Rationale: Leukocytes, nitrates, and blood in urine strongly indicate a urinary tract infection. A, B, and D present different urinalysis findings.
Extract:
A 2-month-old patient has a history of phimosis
Question 2 of 5
A 2-month-old patient has a history of phimosis. What statement by the father indicates a need for further teaching?
Correct Answer: C
Rationale: Pulling back the foreskin in an infant can cause injury and infection. Phimosis is often normal and does not require forced retraction. A, B, and D are accurate or reasonable.
Extract:
A 4-month-old with a history of ventricular septal defect admitted for failure to thrive
Question 3 of 5
The nurse is caring for a 4-month-old with a history of ventricular septal defect. The infant is admitted for failure to thrive. What supportive measure would the nurse anticipate in an infant with congestive heart failure?
Correct Answer: A
Rationale: Increased caloric density of formula addresses the high caloric needs due to heart failure, supporting growth. B, C, and D are not primary interventions for failure to thrive.
Extract:
Children with coarctation of the aorta, aortic stenosis, and pulmonic stenosis
Question 4 of 5
Coarctation of the aorta, aortic stenosis, and pulmonic stenosis are congenital heart defects in which category?
Correct Answer: A
Rationale: These defects involve narrowing that obstructs blood flow, classifying them as obstructive defects. B, C, and D describe other categories.
Extract:
An 8-month-old infant has a hypercyanotic spell while blood is being drawn.
Question 5 of 5
What is the priority nursing action?
Correct Answer: B
Rationale: Placing the child in the knee-chest position increases systemic vascular resistance and reduces right-to-left shunting, improving oxygenation during a hypercyanotic spell. A, C, and D are not immediate priorities.