Questions 64

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ATI Nur235 Pediatrics Final Exam Questions

Extract:

Pediatric client admitted with nephrotic syndrome.


Question 1 of 5

The nurse is caring for a pediatric client admitted with nephrotic syndrome. What assessment finding would likely be noted in a client with this diagnosis?

Correct Answer: D

Rationale: Periorbital edema is a hallmark of nephrotic syndrome due to protein loss and fluid retention.

Extract:

Infant weighing 16 pounds, 8 ounces with severe dehydration.


Question 2 of 5

An infant weighing 16 pounds, 8 ounces is admitted to the pediatric unit with severe dehydration and requires intravenous (IV) fluid resuscitation. The nurse is preparing to administer a 0.9% normal saline IV fluid bolus of 6 mL/kg to infuse over 2 hours. The nurse should set the IV pump to deliver how many mL/hr?

Correct Answer: A

Rationale: Infant weight (16.5 lb => 7.5 kg); 6 mL/kg = 45 mL; over 2 hours = 22.5 mL/hr, rounded to 23 mL/hr.

Extract:

Pediatric client with leukemia receiving chemotherapy, platelets 19,500/mcl, hemoglobin 11 g/dL, WBC 9,800/mcl.


Question 3 of 5

The nurse analyzes the laboratory values of a pediatric client with leukemia who is receiving chemotherapy. The nurse notes the following lab values: platelets 19,500/mcl (nl. 140,000-400,000/mcL), hemoglobin 11 g/dL (nl. 12-16 g/dL), white blood cell count 9,800/mcl (nl. 5,000-10,000/mcL). Based on these findings, which intervention should the nurse prioritize in the plan of care?

Correct Answer: D

Rationale: A critically low platelet count (19,500/mcl) increases bleeding risk, making bleeding precautions the priority.

Extract:

4-year-old client with swollen abdomen, suspected Wilms tumor.


Question 4 of 5

The mother of a 4-year-old client tells the pediatric nurse that the child's abdomen seems to be swollen. During further assessment, the mother tells the nurse that their child is eating well and that their activity level is unchanged. The nurse, suspecting the possibility of Wilms tumor, should avoid which action during the physical assessment?

Correct Answer: D

Rationale: Palpating the abdomen in suspected Wilms tumor risks tumor rupture and spreading cancerous cells.

Extract:

Adolescent with Epstein-Barr virus, fatigue, fever, and body aches.


Question 5 of 5

An adolescent presents to the clinic with extreme fatigue, fever, and body aches and is diagnosed with Epstein-Barr virus. What statement by the adolescent shows that discharge teaching was effective?

Correct Answer: B

Rationale: Avoiding sharing drinks prevents Epstein-Barr virus transmission via saliva.

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