ATI RN
ATI Pediatrics Exam 4 Questions
Extract:
A child with cool extremities, thready pulses, and diminished urinary output
Question 1 of 5
The nurse is assessing a child with a cardiac problem. The child's extremities are cool with thready pulses, and urinary output is diminished. This is most suggestive of which of the following?
Correct Answer: B
Rationale: Cool extremities, thready pulses, and low urinary output suggest decreased cardiac output due to poor heart pumping. A, C, and D are less directly indicated.
Extract:
A non-potty trained child with nephrotic syndrome
Question 2 of 5
In a non-potty trained child with nephrotic syndrome is the best way to detect fluid retention?
Correct Answer: A
Rationale: Daily weighing is the most accurate method to detect fluid retention in nephrotic syndrome, as it sensitively tracks weight changes due to fluid accumulation. B, C, and D are less precise or irrelevant.
Extract:
An 8-month-old infant has a hypercyanotic spell while blood is being drawn.
Question 3 of 5
What is the priority nursing action?
Correct Answer: B
Rationale: Placing the child in the knee-chest position increases systemic vascular resistance and reduces right-to-left shunting, improving oxygenation during a hypercyanotic spell. A, C, and D are not immediate priorities.
Extract:
A patient exhibiting signs of infective endocarditis with proteinuria, ESR-14 mm/hr, weight gain of 2 kg, hemoglobin-13.8, temperature-102.5°F
Question 4 of 5
A pediatric nurse is concerned that her patient is exhibiting signs of infective endocarditis. Which of the following symptoms would lead the nurse to suspect that diagnosis?
Correct Answer: E
Rationale: Fever is a hallmark of infective endocarditis, often persistent. A, B, C, and D are less specific or normal findings.
Extract:
A female child with acute post-streptococcal glomerulonephritis
Question 5 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.