Questions 46

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ATI N400 Pediatrics Exam 2 Questions

Extract:

An infant with heart failure being discharged.


Question 1 of 5

Which of the following clinical manifestations should the nurse ensure caregivers are able to identify as signs of worsening heart failure?

Correct Answer: D

Rationale: Tachypnea, diaphoresis, poor weight gain, and irritability indicate worsening heart failure in infants.

Extract:

Four children: A 4-year-old with asthma, a 7-year-old with diabetes insipidus, a 1-year-old toddler, a 10-year-old with sickle cell anemia.


Question 2 of 5

Which of the following children should the nurse assess first? (Select All that Apply.)

Correct Answer: C,D

Rationale: A toddler's high fever may indicate serious infection; severe chest pain in sickle cell anemia suggests acute chest syndrome, both requiring urgent assessment.

Extract:

A school-age child involved in a motor vehicle crash, with oxygen saturation dropping from 95% to 93%.


Question 3 of 5

The child is at highest risk for developing ___ evidenced by the client's ___.

Correct Answer: A

Rationale: Decreasing oxygen saturation (93%) and labored breathing indicate risk of hypoxia, requiring immediate attention.

Extract:

A newborn with spina bifida prior to repair.


Question 4 of 5

What is the appropriate method to protect the sac in a newborn with spina bifida prior to repair?

Correct Answer: C

Rationale: A sterile moist saline dressing keeps the sac moist, prevents drying, and reduces infection risk before surgery.

Extract:

A child with acute glomerulonephritis.


Question 5 of 5

Which of the following actions is the nurse's priority?

Correct Answer: D

Rationale: Daily weight monitoring detects fluid retention, critical for assessing kidney function in glomerulonephritis.

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