ATI RN
ATI Nur223g Pediatrics Sect 2 Final Exam Questions
Extract:
Newborns in general.
Question 1 of 5
Coarctation of the aorta demonstrates few symptoms in newborns. What is a important assessment to the nurse make on all newborns to help reveal this condition?
Correct Answer: A
Rationale: Recording an upper extremity blood pressure compared to a lower extremity blood pressure can reveal coarctation of the aorta, as it often results in higher blood pressure in the upper body.
Extract:
A 2-month-old infant with Hirschsprung's disease.
Question 2 of 5
A nurse is planning care for a 2-month-old infant with Hirschsprung's disease. Which of the following conditions should the nurse recognize is associated with this diagnosis?
Correct Answer: B
Rationale: Hirschsprung's disease (congenital aganglionic megacolon) leads to inadequate motility of part of the intestine and results in a mechanical obstruction.
Extract:
An infant who has cystic fibrosis.
Question 3 of 5
A nurse is presenting an in-service about the use of postural drainage for infants who have cystic fibrosis. Which of the following positions should the nurse identify as being contraindicated for the infant?
Correct Answer: B
Rationale: The Trendelenburg position is contraindicated for infants with cystic fibrosis because it can increase the risk of gastroesophageal reflux and aspiration.
Extract:
A client who is postoperative following an appendectomy and is prescribed D, 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 4 of 5
A nurse is caring for a client who is postoperative following an appendectomy and is prescribed D, 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? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: A
Rationale: Calculate: (150 mL * 20 gtt/mL) / 720 min = 4.1666 gtt/min, rounded to 4 gtt/min.
Extract:
A 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 is a beta-blocker used to manage heart failure, but it can also cause bronchoconstriction, which is dangerous for clients with asthma. Beta-blockers can exacerbate asthma symptoms, so clarification is needed before administration.