ATI RN
ATI Nur235 Pediatrics Final Exam Questions
Extract:
18-month-old toddler with 10-day history of irritability, high fever, unresponsive to antibiotics, reddened eyes, cracked lips, strawberry tongue, inflamed oral mucosa, edematous hands and feet, erythematous rash, enlarged cervical lymph node, suspected Kawasaki disease.
Question 1 of 5
The nurse reviews the toddler's medical record and assessment findings. The nurse should anticipate a healthcare provider's prescription for and
Correct Answer: A
Rationale: High-dose IV immunoglobulins reduce inflammation, and aspirin prevents coronary artery complications in Kawasaki disease.
Extract:
Client with acute glomerulonephritis.
Question 2 of 5
A nurse is planning care for a client who has acute glomerulonephritis. Which intervention should the nurse include in the plan when caring for this client?
Correct Answer: B
Rationale: Antibiotics are necessary if glomerulonephritis is post-streptococcal to treat the underlying infection.
Extract:
School-age child with juvenile idiopathic arthritis (JIA).
Question 3 of 5
A nurse is providing discharge instructions to a parent and their school-age child who has juvenile idiopathic arthritis (JIA). What should the nurse include in the discharge instructions to the family?
Correct Answer: A
Rationale: Notifying the provider if NSAIDs are ineffective ensures timely escalation to other treatments like DMARDs.
Extract:
Pediatric client admitted with nephrotic syndrome.
Question 4 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:
3-year-old child with 160 mL urine output over 8 hours, weighing 33 lb.
Question 5 of 5
A nurse is caring for a 3-year-old child who has had 160 mL of urine output over the past 8 hour period. The child weighs 33 lb. After calculating the client's urinary output, which action is appropriate?
Correct Answer: D
Rationale: The urine output of 1.3 mL/kg/hr is within the normal range (1-2 mL/kg/hr) for a 15 kg child, so continued monitoring is appropriate.