ATI RN
ATI Nur307 Pediatrics Quiz Questions
Extract:
Nurses' Notes: 0930: Parent presents child to provider's office. Parent reports the child has had a fever for 2 days and that the child has cried more than usual. Parent also reports the child has had a decreased appetite for the last 24 hr. Child febrile and lethargic. 0945: Notified provider of parent reports and child's fever. New prescriptions received. 1000: Urine sample obtained via sterile straight catheter. Medical History: 0930: Three urinary tract infections over the past year treated with antibiotics. Diagnosed at 6 months old with vesicoureteral reflux. Provider Prescriptions: 0945: Obtain urine sample for urinalysis and culture and sensitivity via sterile straight catheter. Vital Signs: 0930: Temperature 38.4° C (101.1 F), Heart rate 128/min, Respiratory rate 28/min. Diagnostic Results: 1030: Urinalysis: Appearance: cloudy and dark amber (clear), Specific gravity 1.035 (1.005 to 1.030), Leukocyte esterase: positive (negative), Nitrites: present (none), WBCS: 10 (0 to 4).
Question 1 of 5
The child is at risk for developing __ and __.
Correct Answer: A,B
Rationale: The child's history of vesicoureteral reflux and recurrent UTIs increases the risk of pyelonephritis and renal scarring due to potential backflow of urine into the kidneys.
Extract:
Question 2 of 5
A nurse is caring for a child who is 2 hr postoperative. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Comparing pedal pulses is crucial post-lower extremity surgery to detect compromised circulation, a priority to prevent complications.
Question 3 of 5
A nurse is caring for a group of toddlers receiving digoxin therapy. For which of the following toddlers should the nurse revise the plan of care?
Correct Answer: C
Rationale: Vomiting is a sign of digoxin toxicity, requiring immediate attention to reassess the dose and check for other toxicity signs.
Question 4 of 5
A nurse is teaching about nutrition to the guardian of a 2-year-old toddler. Which of the following statements should the nurse include in the teaching?
Correct Answer: A
Rationale: A 2-year-old requires about 1,000 to 1,400 calories daily to support growth and development.
Question 5 of 5
A nurse is interviewing the parents of a 3-year-old child. Which of the following statements from the parents should the nurse recognize as a manifestation of a hearing loss in the child?
Correct Answer: B
Rationale: Repeating statements often is a common sign of hearing loss, as the child may not hear the initial statement.