ATI RN
ATI Pediatrics Exam 4 Questions
Extract:
An 8-year-old patient presents to his clinic, complaining of dizziness, headaches, and epistaxis. The nurse took the patient's vital signs and noticed that he had high blood pressure in his arms and bounding upper extremity pulses; however, when she proceeded to check his lower extremity pulses, they were weak, and his legs were pale and cool to touch.
Question 1 of 5
What does this patient present signs of?
Correct Answer: B
Rationale: Coarctation of the aorta causes narrowing of the aorta, leading to high blood pressure in the arms and weak pulses in the legs, with symptoms like dizziness, headaches, and epistaxis. A, C, and D do not typically present with this specific combination of findings.
Extract:
A child has lost 8 pounds after 4 days of hospitalization for acute glomerulonephritis.
Question 2 of 5
The nurse notes that a child has lost 8 pounds after 4 days of hospitalization for acute glomerulonephritis. What is most likely the cause of the weight loss?
Correct Answer: D
Rationale: Reduction of edema, due to diuretics and improved kidney function, is the most likely cause of rapid weight loss in acute glomerulonephritis. A, B, and C are less significant contributors.
Extract:
Archie who weighs 44 lb has been given an order for amoxicillin 500 mg bid to take before a dentist appointment based on his history of infective endocarditis. The drug test shows that the daily dose of amoxicillin is 50 mg/kg/day in two divided doses.
Question 3 of 5
What dose in milligrams is safest for this child?
Correct Answer: A
Rationale: Archie's weight (44 lb = 19.96 kg) at 50 mg/kg/day yields 998 mg/day, or 499 mg per dose. The prescribed 500 mg is safe and closest to the calculated dose. B, C, and D deviate significantly.
Extract:
A non-potty trained child with nephrotic syndrome
Question 4 of 5
In a non-potty trained child with nephrotic syndrome is the best way to detect fluid retention?
Correct Answer: A
Rationale: Daily weighing is the most accurate method to detect fluid retention in nephrotic syndrome, as it sensitively tracks weight changes due to fluid accumulation. B, C, and D are less precise or irrelevant.
Extract:
Nick was diagnosed with Hypoplastic Left Heart Syndrome.
Question 5 of 5
Which of the following responses should the nurse educate his parents regarding the treatment of this disease?
Correct Answer: A
Rationale: Hypoplastic Left Heart Syndrome requires staged palliative surgeries, with a heart transplant often being the definitive treatment. B, C, and D misrepresent the condition or treatment.