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:
Children with coarctation of the aorta, aortic stenosis, and pulmonic stenosis
Question 2 of 5
Coarctation of the aorta, aortic stenosis, and pulmonic stenosis are congenital heart defects in which category?
Correct Answer: A
Rationale: These defects involve narrowing that obstructs blood flow, classifying them as obstructive defects. B, C, and D describe other categories.
Extract:
A patient with a urinary tract infection
Question 3 of 5
Which of the following should be included when developing a teaching plan to prevent urinary tract infection?
Correct Answer: B,D,F
Rationale: Complete bladder emptying, avoiding bubble baths/tight clothing, and adequate fluid intake reduce UTI risk. A, C, and E are not evidence-based or incorrect.
Extract:
Molly, with suspected rheumatic fever
Question 4 of 5
Molly, with suspected rheumatic fever, is admitted to the pediatric unit. When obtaining the child's history, the nurse considers which information to be most important?
Correct Answer: B
Rationale: A recent streptococcal pharyngitis is critical, as it often triggers rheumatic fever. A, C, and D are less specific to the diagnosis.
Extract:
A 6-year-old female patient with leukocytes, nitrates, blood in urine, pH 6.5, specific gravity 1.020
Question 5 of 5
Based on the patient's presentation, what would the nurse anticipate her diagnosis to be?
Correct Answer: C
Rationale: Leukocytes, nitrates, and blood in urine strongly indicate a urinary tract infection. A, B, and D present different urinalysis findings.