ATI RN
ATI Pediatrics Exam 4 Questions
Extract:
An 8-month-old infant has a hypercyanotic spell while blood is being drawn.
Question 1 of 5
What is the priority nursing action?
Correct Answer: B
Rationale: Placing the child in the knee-chest position increases systemic vascular resistance and reduces right-to-left shunting, improving oxygenation during a hypercyanotic spell. A, C, and D are not immediate priorities.
Extract:
A female child with acute post-streptococcal glomerulonephritis
Question 2 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 child with secondary hypertension
Question 3 of 5
The primary therapy for secondary hypertension in children is...
Correct Answer: A
Rationale: Treating the underlying cause is the primary therapy for secondary hypertension in children, as it directly addresses the root issue. B, C, and D are supportive measures.
Extract:
Molly, with suspected rheumatic fever
Question 4 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:
Clay diagnosed with heart failure
Question 5 of 5
Which of the following would Nurse Tony supposed to regard as a cardinal manifestation or symptom of digoxin toxicity to his patient Clay diagnosed with heart failure?
Correct Answer: D
Rationale: Extreme bradycardia is a hallmark of digoxin toxicity due to its effect on the heart's electrical conduction. A, B, and C are less specific or secondary symptoms.