Questions 47

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ATI RN Pediatric Assessment 2022 Questions

Extract:

A 2 month-old-child with left-sided congestive heart failure


Question 1 of 5

The nurse is collecting data on a 2 month-old-child with left-sided congestive heart failure. Which clinical manifestation would support this diagnosis of left-sided congestive heart failure?

Correct Answer: C

Rationale: Shortness of breath results from pulmonary congestion in left-sided heart failure. A, B, and D are more typical of right-sided heart failure.

Extract:

An infant


Question 2 of 5

A nurse is preparing to measure an infant's vital signs. The nurse should use which of the following sites to assess a heart rate?

Correct Answer: D

Rationale: The apex of the heart provides the most accurate heart rate in infants, located at the point of maximum impulse. A, B, and C are less reliable sites.

Extract:

A child who has cystic fibrosis (CF)


Question 3 of 5

A nurse is providing discharge teaching about nutrition to the parents of a child who has cystic fibrosis (CF). Which of the following responses by the parents indicates an understanding of the teaching?

Correct Answer: B

Rationale: Pancreatic enzymes aid nutrient absorption in CF. A, C, and D are incorrect as CF requires adequate fluids, salt, and high-calorie diets.

Extract:

A child with celiac disease


Question 4 of 5

The nurse provides home care instructions to the parents of a child with celiac disease. The nurse would teach the parents to include which food item in the child's diet?

Correct Answer: B

Rationale: Rice is gluten-free and safe for celiac disease. A, C, and D contain or may contain gluten, which is harmful.

Extract:

An infant with heart failure


Question 5 of 5

A pediatrician has prescribed oxygen as needed for an infant with heart failure. Which situation would likely increase the oxygen demand, requiring the nurse to administer oxygen to the infant?

Correct Answer: D

Rationale: Blood drawing causes stress, increasing oxygen demand in heart failure. A, B, and C are less likely to significantly increase demand.

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