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:

Adolescents who require dialysis


Question 2 of 5

What is the advantage of teaching to the family about continuous cycling peritoneal dialysis (CCPD) or continuous ambulatory peritoneal (CAPD) for adolescents who require dialysis?

Correct Answer: B

Rationale: CCPD and CAPD allow adolescents to perform dialysis independently at home, fostering autonomy. A, C, and D are inaccurate.

Extract:

A 4-month-old with a history of ventricular septal defect admitted for failure to thrive


Question 3 of 5

The nurse is caring for a 4-month-old with a history of ventricular septal defect. The infant is admitted for failure to thrive. What supportive measure would the nurse anticipate in an infant with congestive heart failure?

Correct Answer: A

Rationale: Increased caloric density of formula addresses the high caloric needs due to heart failure, supporting growth. B, C, and D are not primary interventions for failure to thrive.

Extract:

A 5-year-old patient with peripheral edema, blood pressure of 112/70, potassium level of 4.7, diarrhea, oliguria


Question 4 of 5

A 5-year-old patient is brought into the Emergency Room and is diagnosed with an Acute Kidney Injury (AKI). Which findings indicate this diagnosis?

Correct Answer: A,E

Rationale: Peripheral edema and oliguria are key signs of AKI, indicating fluid retention and reduced urine output. B, C, and D are not specific to AKI.

Extract:

A 2-day-old baby boy diagnosed with hypospadias


Question 5 of 5

A nurse on a mother-baby unit is caring for a 2-day-old baby boy. The patient was seen by a urologist at 0000 and was diagnosed with hypospadias. Which order by the pediatrician is contraindicated?

Correct Answer: D

Rationale: Circumcision is contraindicated in hypospadias, as the foreskin may be needed for surgical repair. A, B, and C are appropriate.

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