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 with cool extremities, thready pulses, and diminished urinary output
Question 2 of 5
The nurse is assessing a child with a cardiac problem. The child's extremities are cool with thready pulses, and urinary output is diminished. This is most suggestive of which of the following?
Correct Answer: B
Rationale: Cool extremities, thready pulses, and low urinary output suggest decreased cardiac output due to poor heart pumping. A, C, and D are less directly indicated.
Extract:
A 5-year-old patient with peripheral edema, blood pressure of 112/70, potassium level of 4.7, diarrhea, oliguria
Question 3 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 child with a disorder leading to cyanosis from deoxygenated blood entering the systemic arterial circulation
Question 4 of 5
Which of the following disorders leads to cyanosis from deoxygenated blood entering the systemic arterial circulation?
Correct Answer: D
Rationale: Tetralogy of Fallot causes cyanosis due to right-to-left shunting of deoxygenated blood. A, B, and C do not typically cause this.
Extract:
An infant or child with congestive heart failure
Question 5 of 5
Nursing care of the infant and child with congestive heart failure includes
Correct Answer: A
Rationale: Age-appropriate fluid administration prevents dehydration and supports circulation in CHF. B, C, and D are also relevant but not the primary focus in this context.