ATI RN
ATI Nur307 Pediatrics Nursing Exam Questions
Extract:
A one-month old baby has been admitted to the pediatric unit with the diagnosis of pyloric stenosis.
Question 1 of 5
Which of the following assessments is the highest priority for the nurse to report to the baby's primary health-care provider?
Correct Answer: D
Rationale: The correct answer is D: Sunken fontanelle. This is the highest priority assessment to report because it indicates dehydration in a baby, which can have serious consequences if not addressed promptly. A sunken fontanelle is a sign of significant fluid loss and requires immediate medical attention to prevent further complications.
Choice A (Undigested emesis) may indicate a feeding issue but is not as urgent as a sunken fontanelle.
Choice B (Apical heart rate of 156 bpm) is within normal range for a baby and not a critical concern.
Choice C (Serum potassium of 3.6 mEq/dL) is slightly low but not an immediate threat compared to dehydration indicated by a sunken fontanelle.
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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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