ATI RN
ATI Pediatrics Exam 4 Questions
Extract:
A female child with acute post-streptococcal glomerulonephritis
Question 1 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.
Extract:
A child with cool extremities, thready pulses, and diminished urinary output
Question 2 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:
The Foley Family is caring for their youngest child, Justin, who is suffering from tetralogy of Fallot.
Question 3 of 5
Which of the following are defects associated with this congenital heart condition?
Correct Answer: B
Rationale: Tetralogy of Fallot includes ventricular septal defect, overriding aorta, pulmonic stenosis, and right ventricular hypertrophy. A, C, and D describe other conditions.
Extract:
A 2-month-old patient has a history of phimosis
Question 4 of 5
A 2-month-old patient has a history of phimosis. What statement by the father indicates a need for further teaching?
Correct Answer: C
Rationale: Pulling back the foreskin in an infant can cause injury and infection. Phimosis is often normal and does not require forced retraction. A, B, and D are accurate or reasonable.
Extract:
Clay diagnosed with heart failure
Question 5 of 5
Which of the following would Nurse Tony supposed to regard as a cardinal manifestation or symptom of digoxin toxicity to his patient Clay diagnosed with heart failure?
Correct Answer: D
Rationale: Extreme bradycardia is a hallmark of digoxin toxicity due to its effect on the heart's electrical conduction. A, B, and C are less specific or secondary symptoms.