ATI RN
ATI Nur 223a Sect 4 Pediatrics Final Exam Questions
Extract:
3-month-old is admitted with severe diarrhea. Yesterday, the infant weighed 11 pounds (5 kg). Today, this infant weighs 9 pounds, 8 ounces (4.3 kg).
Question 1 of 5
Based on this information, the nurse documents that the infant has:
Correct Answer: C
Rationale: Significant weight loss (11 to 9 pounds, 8 ounces) indicates severe dehydration due to fluid loss.
Extract:
Client who is postoperative following an appendectomy and is prescribed lactated Ringer's at 150 mL/hr by continuous IV infusion for 12 hr. The drop factor of the manual IV tubing is 20 gtt/mL.
Question 2 of 5
A nurse is caring for a client who is postoperative following an appendectomy and is prescribed lactated Ringer's at 150 mL/hr by continuous IV infusion for 12 hr. The drop factor of the manual IV tubing is 20 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min?
Correct Answer: 50
Rationale: Calculation: (150 mL/hr × 20 gtt/mL) / 60 min = 50 gtt/min.
Extract:
6-week-old infant who has pyloric stenosis.
Question 3 of 5
A nurse is caring for a 6-week-old infant who has pyloric stenosis. Which of the following clinical manifestations should the nurse expect?
Correct Answer: A
Rationale: Projectile vomiting is a hallmark of pyloric stenosis due to pyloric obstruction.
Extract:
Child who has cystic fibrosis and has a prescription for pancreatic enzymes three times per day.
Question 4 of 5
A nurse is teaching the mother of a child who has cystic fibrosis and has a prescription for pancreatic enzymes three times per day. Which of the following statements indicates that the mother understands the teaching?
Correct Answer: D
Rationale: Pancreatic enzymes aid fat digestion in cystic fibrosis.
Extract:
Client who has heart failure and a history of asthma.
Question 5 of 5
The nurse is caring for a client who has heart failure and a history of asthma. The nurse reviews the provider's orders and recognizes that clarification is needed for which of the following medications?
Correct Answer: B
Rationale: Carvedilol, a beta-blocker, can exacerbate asthma by causing bronchoconstriction.