Questions 68

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ATI Pediatrics Exam 4 Questions

Extract:

A school-age child in acute renal failure or reduced glomerular filtration rate


Question 1 of 5

The nurses admitting a school-age child in acute renal failure or reduced glomerular filtration rate. Which urine test is the most useful clinical indication of glomerular filtration rate?

Correct Answer: B

Rationale: Creatinine levels in urine and blood directly reflect glomerular filtration rate, as it is filtered and excreted by the kidneys. A, C, and D are less specific.

Extract:


Question 2 of 5

Which of the following options gives a nurse the most accurate diagnostic picture of a cardiac issue?

Correct Answer: B

Rationale: Cardiac catheterization provides direct visualization of coronary arteries and heart structures, making it the most accurate for diagnosing a wide range of cardiac issues. A, C, and D offer less detailed or specific information.

Extract:

Molly, with suspected rheumatic fever


Question 3 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 female child with acute post-streptococcal glomerulonephritis


Question 4 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 2-month-old patient has a history of phimosis


Question 5 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.

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