ATI RN
ATINur2708 Pediatrics Final Exam Questions
Extract:
School-age child involved in a motor-vehicle crash. Vital Signs 1845: Temperature 37.2°C (99.9°F), Pulse rate 95/min, Respiratory rate 25/min, Blood pressure 112/68 mm Hg, Oxygen saturation 95% room air. 2125: Temperature 37.1°C (98.8°F), Pulse rate 94/min, Respiratory rate 23/min, Blood pressure 110/64 mm Hg, Oxygen saturation 93% room air.
Question 1 of 5
Complete the following sentence by using the list of options. The child is at highest risk for developing evidenced by the client's
Correct Answer: A,B
Rationale: A: Pulmonary embolism is a risk post-trauma due to immobility. B: Declining oxygen saturation (95% to 93%) suggests respiratory compromise, a potential sign of embolism.
Extract:
Risks associated with the treatment of Rh Isoimmunization as in hemolytic disease of the newborn (HDN).
Question 2 of 5
What are some risks associated with the treatment of Rh Isoimmunization as in hemolytic disease of the newborn (HDN).
Correct Answer: A,B,C
Rationale: A: Intrauterine transfusions risk premature labor. B: Incomplete treatment may worsen isoimmunization. C: Invasive procedures increase infection risk.
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:
Adolescent with blunt trauma to the abdomen.
Question 4 of 5
A nurse is assessing an adolescent who experienced blunt trauma to the abdomen. Which of the following findings is the nurse's priority?
Correct Answer: A
Rationale: A: Low blood pressure (89/50 mm Hg) suggests hypovolemic shock, a critical priority requiring immediate intervention.
Extract:
Adolescent postoperative following scoliosis repair with Harrington rod instrumentation.
Question 5 of 5
A nursing is planning care for an adolescent who is postoperative following scoliosis repair with Harrington rod instrumentation. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: B
Rationale: B: Log rolling every 4 hours maintains spinal alignment, protecting the surgical repair.