ATI RN
ATI Pediatrics Final Exam Questions
Extract:
Newborn 8 hours of age. Newborn is alert and active. Oral mucosa pink. Respirations easy and unlabored. Extremities flexed. Good muscle tone. Breastfed vigorously x 2 for 30 to 40 min. Fontanel level and soft. Large ecchymotic caput succedaneum noted on posterior scalp. No stool or void noted since birth. 36 hours of age: Newborn is sleeping in their birth parent's arms. Awakens with stimulation, yellow discoloration noted of sclera and oral mucosa. Lung sounds clear bilaterally. Nasal flaring present. Fontanel level and soft with large ecchymotic caput succedaneum noted. Blood-tinged mucus noted at the vaginal opening. Has voided and stooled one time since birth. Uric acid crystals observed in urine. Breastfed x 1 in the past 6 hr for 10 min
Question 1 of 5
Which of the following assessment findings require follow-up by the nurse?
Correct Answer: A,C,E,F,G
Rationale: The correct assessment findings that require follow-up by the nurse are C, E, F, and G.
C: A respiratory rate of 78/min is high and could indicate respiratory distress.
E: Nasal flaring suggests increased work of breathing and possible respiratory distress.
F: Blood-tinged mucus at the vaginal opening may indicate a potential issue that needs evaluation.
G: Uric acid crystals in urine could be a sign of a kidney issue.
A and D are within normal limits and do not require immediate follow-up.
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Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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