ATI RN
ATI RN Pediatrics Nursing 2023 New Questions
Extract:
Received 4-year-old child with an exacerbation of heart failure. Family reports history of congenital mitral stenosis. Breath sounds with wheezing noted in bilateral lower lobes. Nonproductive cough noted. Dyspnea with respiratory rate 30/min. Oxygen at 2 L/min applied per nasal cannula. Telemetry applied: Sinus rhythm a rate 116/min. Abdomen soft, nontender. Bowel sounds positive all 4 quadrants. Lower extremities with 2+ edema noted. Pedal pulses palpable bilaterally. Peripheral saline lock intact to right forearm with no signs and symptoms of infection. Weight 20 kg (44 lb). Increase in dyspnea noted with orthopnea. Nasal flaring with respiratory rate of 36/min. Lung sounds with wheezing noted throughout. Lower extremity edema 3+ to bilateral lower extremities. Extremities cool with decreased skin pigmentation noted. Peripheral pulses weak bilateral jugular vein distention noted.
Question 1 of 5
The client is at risk for developing ____ and ____
Correct Answer: A,B
Rationale: Digitalis toxicity can occur in children receiving digoxin, especially if there are electrolyte imbalances. Hypokalemia is a common side effect of diuretics like furosemide.
Extract:
A nurse is assessing a child who has nephrotic syndrome.
Question 2 of 5
The nurse should expect which of the following findings?
Correct Answer: A
Rationale: Edema with normal or low BP is correct. In nephrotic syndrome, fluid retention leads to edema, and blood pressure is typically normal or low due to the loss of protein in the urine and reduced plasma oncotic pressure.
Extract:
A nurse is assessing a 5-month-old infant who has had a seizure and high pitched crying with a high fever.
Question 3 of 5
The nurse anticipates the need for which diagnostic testing?
Correct Answer: C
Rationale: CSF analysis is essential to diagnose meningitis in infants presenting with seizures and fever.
Extract:
A nurse is assessing a 3-year-old client who has been diagnosed with an Atrial Septal Defect (ASD).
Question 4 of 5
Which of the following findings should the nurse expect? (Select All That Apply)
Correct Answer: A,C,D
Rationale: Right atrial enlargement occurs due to increased blood flow from left to right shunting. Shortness of breath is common due to pulmonary congestion. Pulmonary hypertension may develop due to increased blood flow.
Extract:
The nurse is speaking to an adolescent client with osteosarcoma and who is scheduled for a surgical procedure of a left leg amputation In 2 days.
Question 5 of 5
The nurse's approach should include which action?
Correct Answer: A
Rationale: Encouraging open communication allows the adolescent to express emotions and supports emotional preparation for surgery.