ATI RN
ATI Pediatrics Exam 4 Questions
Extract:
Molly, with suspected rheumatic fever
Question 1 of 5
Molly, with suspected rheumatic fever, is admitted to the pediatric unit. When obtaining the child's history, the nurse considers which information to be most important?
Correct Answer: B
Rationale: A recent streptococcal pharyngitis is critical, as it often triggers rheumatic fever. A, C, and D are less specific to the diagnosis.
Extract:
A female child with acute post-streptococcal glomerulonephritis
Question 2 of 5
The nurse is evaluating a female child with acute post-streptococcal glomerulonephritis for signs of improvement. Which finding typically is the earliest sign of improvement?
Correct Answer: C
Rationale: Increased urine output is the earliest sign of improvement in APSGN, reflecting resolving glomerular inflammation and restored kidney function. A, B, and D are less specific or later indicators.
Extract:
Children with coarctation of the aorta, aortic stenosis, and pulmonic stenosis
Question 3 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:
A patient is to receive a 1000 mL 0.9% NS bag at 20 mL/hr for 24 hours.
Question 4 of 5
A 1000 mL 0.9% NS bag is to be administered to a patient at 20 mL/hr. The patient is to receive this solution for hours. How many mL will the patient receive? (Round to the nearest whole number)
Correct Answer: 480 mL
Rationale:
Total volume = 20 mL/hr × 24 hr = 480 mL, as per the infusion rate and duration.
Extract:
An 8-year-old patient presents to his clinic, complaining of dizziness, headaches, and epistaxis. The nurse took the patient's vital signs and noticed that he had high blood pressure in his arms and bounding upper extremity pulses; however, when she proceeded to check his lower extremity pulses, they were weak, and his legs were pale and cool to touch.
Question 5 of 5
What does this patient present signs of?
Correct Answer: B
Rationale: Coarctation of the aorta causes narrowing of the aorta, leading to high blood pressure in the arms and weak pulses in the legs, with symptoms like dizziness, headaches, and epistaxis. A, C, and D do not typically present with this specific combination of findings.