ATI RN
ATINur2708 Pediatrics Final Exam Questions
Extract:
Clinical manifestations of acromegaly.
Question 1 of 5
Clinical manifestations of acromegaly include:
Correct Answer: A,B,C,F
Rationale: A: Skin tags develop due to hormonal changes. B: Voice softening occurs from vocal cord enlargement. C: Muscle weakness results from hormonal effects. F: Soft tissue swelling is caused by excess growth hormone.
Extract:
Child in skeletal traction.
Question 2 of 5
Which of the following actions should the nurse take when caring for a child in skeletal traction?
Correct Answer: E,F,G
Rationale: E: Neurovascular assessments detect complications like compartment syndrome. F: Monitoring for infection is critical at the traction site. G: Pain medication ensures comfort, supporting recovery.
Extract:
Infant weighing 22 pounds, diagnosed with congestive heart failure, prescribed digoxin 5 micrograms/kg/day in 2 divided doses.
Question 3 of 5
A nurse is providing care to an infant diagnosed with congestive heart failure. The health care provider has prescribed digoxin 5 micrograms/kg/day in 2 divided doses. The infant weighs 22 pounds. How many micrograms of digoxin should the nurse administer in each dose? Round your answer to 1 decimal place
Correct Answer: A
Rationale: Weight: 22 lb x 0.453592 = 9.979 kg.
Total dose: 9.979 kg x 5 mcg/kg = 49.895 mcg/day. Each dose: 49.895/ 2 = 24.9475 mcg, rounded to 24.9 mcg. Correct answer: A (24.9 mcg).
Extract:
11-year-old diagnosed 2 years ago with tonic-clonic seizure disorder. Three months ago, neurologist changed the child's antiepileptic medications to include Phenytoin due to increasing number of seizures per guardian. Diagnostic Results 1030: WBC count 8,500/mm3, RBC count 4.2, Hemoglobin 11 g/dL, Hematocrit 40%, Platelet count 216,000/mm3, Phenytoin Level: 6 mcg/mL (10 to 20 mcg/mL), Liver Enzymes: ALT 32units/L, ALP 240units/L, AST 44units/L, Albumin 4.1 g/dL, Total protein 6.5, Direct bilirubin 0.3 mg/dL, Indirect bilirubin 0.8 mg/dL. Vital Signs 0900: Temperature 36.8° C (98.2° F), Heart rate 80/min, Respiratory rate 22/min, Blood pressure 116/78 mm Hg, SaO2 94% on room air. Nurses Notes 0900: Child reports a harsh non-productive cough worse when playing outside and at night, feels short of breath during coughing episodes. Guardian reports 3 seizures over the past week, last one yesterday morning, tonic-clonic, lasted 2 minutes. Child is alert, oriented. Noted dry, hyperpigmented, patchy, itchy skin in antecubital area with scratch marks and dried blood. Child has a 1-year history of mild exercise-induced asthma, prescribed albuterol prn.
Question 4 of 5
The client is at risk for developing due to .
Correct Answer: A,B
Rationale: A: Stevens-Johnson syndrome is a severe skin reaction linked to phenytoin, especially with recent onset of itchy, hyperpigmented skin patches. B: The skin rash, with scratching and blood, is a warning sign for potential progression to Stevens-Johnson syndrome.
Extract:
11-month-old infant reportedly fell down a flight of stairs from the porch to the sidewalk. CT scan shows small subdural hematoma. Admit for close observation. Vital Signs Admission: Axillary temperature 37.1° C (98.8° F), Apical heart rate 104/min, Respiratory rate 26/min, Oxygen saturation 98% on room air. 4 hr later: Axillary temperature 38.2° C (100.8° F), Apical heart rate 124/min, Respiratory rate 22/min, Oxygen saturation 96% on room air. Nurses' Notes Admission note: Infant alert and fussy in guardian's arms. Moves all extremities. Edema and ecchymosis noted on left side of scalp. Anterior fontanel level and soft. Pupils equal and react briskly to light. 4 hr later: Infant sleeping in guardian's arms. Guardian reports they are unable to wake the infant to feed them. Infant slept through vital sign assessment.
Question 5 of 5
A nurse is caring for an infant in the emergency department. Which of the following actions should the nurse take?
Correct Answer: A,B,C,E
Rationale: A: Stabilizing the spine is critical due to the fall, which poses a risk of spinal injury. B: Palpating the fontanel monitors for increased intracranial pressure, especially with a hematoma. C: Assessing pupillary reaction evaluates neurological status, crucial given the infant's unresponsiveness. E: Measuring head circumference tracks potential swelling from the hematoma. D is incorrect as feeding an unresponsive infant risks aspiration. F is less urgent compared to other actions.