ATI RN
ATI Nur 307 Pediatrics Final Exam Questions
Extract:
The nurse is caring for a newly-admitted infant diagnosed with 'failure to thrive,' taking blood pressures in all four extremities.
Question 1 of 5
Which congenital cardiac defect does the nurse anticipate based on the prescribed order?
Correct Answer: D
Rationale: The correct answer is D: Coarctation of the aorta. The nurse can anticipate this defect based on the prescribed order because coarctation of the aorta is a narrowing of the aorta, leading to decreased blood flow to the lower body. This condition often presents with symptoms such as high blood pressure in the upper body and weak or absent pulses in the lower extremities. Pulmonary atresia (
A) is a condition where the pulmonary valve is not formed properly, leading to inadequate blood flow to the lungs. Tetralogy of Fallot (
B) is a combination of four heart defects, not typically associated with coarctation of the aorta. Ventricular septal defect (
C) is a hole in the heart's wall between the two lower chambers, not related to aortic narrowing.
Extract:
A school nurse is taking care of an adolescent who presents with multiple burns in various stages of healing.
Question 2 of 5
Which of the following behaviors should the nurse identify as suggestive of possible physical abuse?
Correct Answer: B
Rationale: The correct answer is B. When a person denies discomfort during injury assessment, it could indicate physical abuse as they may be afraid to reveal the pain caused by abuse. This behavior suggests a potential attempt to hide the abuse. A detailed description of how burns occurred (choice
A) may indicate honesty rather than abuse. Describing strong relationships with peers (choice
C) and expressing reluctance to leave home (choice
D) are not directly indicative of physical abuse.
Extract:
A nurse is calculating the maximum recommended dose for sertraline for a school-age client with depression (31 kg).
Question 3 of 5
The maximum recommended dose for this child would be (5 to 3 mg/kg/day).
Correct Answer: 93
Rationale: The correct answer is not provided in the choices given.
To determine the maximum recommended dose for the child, we need to know the weight of the child. The dose range provided (5 to 3 mg/kg/day) suggests that the dose is weight-dependent.
To calculate the maximum dose, we would multiply the child's weight in kg by 5 mg (upper limit of the range). For example, if the child weighs 10 kg, the maximum dose would be 10 kg * 5 mg/kg/day = 50 mg/day.
Therefore, the correct answer cannot be determined without knowing the child's weight.
Choices A-G are all incorrect as they do not provide a specific dose based on the given range without the child's weight.
Extract:
A nurse is creating a plan for a toddler who has minimal change nephrotic syndrome and 3+ pitting edema.
Question 4 of 5
Which of the following interventions should the nurse include in the plan?
Correct Answer: D
Rationale: The correct answer is D: Administer corticosteroids to the toddler. Corticosteroids are indicated for the treatment of croup, a common viral respiratory illness in toddlers. They help reduce airway inflammation and improve symptoms. Placing the child in an airborne infection isolation room (
A) is not necessary for croup as it is not transmitted through the air. Encouraging increased fluid intake (
B) is generally good practice, but it is not a specific intervention for croup. Increasing dietary sodium intake (
C) is not indicated and can be harmful in respiratory conditions. Administering corticosteroids (
D) directly targets the underlying inflammation in croup, making it the most appropriate intervention.
Extract:
The nurse is administering desmopressin (DDAVP) to a pediatric client with diabetes insipidus.
Question 5 of 5
The nurse should monitor for which of the following potential side effects of this medication?
Correct Answer: D
Rationale: The correct answer is D, Hyponatremia. This medication may cause a decrease in sodium levels, leading to hyponatremia. Monitoring for signs like confusion, weakness, and seizures is crucial. A: Hypertension is incorrect as this medication doesn't typically cause high blood pressure. B: Hyperkalemia is incorrect as it doesn't usually elevate potassium levels. C: Hypoglycemia is incorrect as this medication doesn't directly affect blood sugar levels.
Therefore, D is the correct choice as it aligns with the medication's known side effects.