ATI RN
ATI Nur 223a Sect 4 Pediatrics Final Exam Questions
Extract:
Conditions associated with tetralogy of Fallot.
Question 1 of 5
Which of the following conditions is commonly associated with tetralogy of Fallot?
Correct Answer: D
Rationale: Tetralogy of Fallot is a congenital heart defect with four heart abnormalities.
Extract:
Child who is having a seizure.
Question 2 of 5
A nurse is caring for a child who is having a seizure. Which of the following actions should the nurse take? (Select all that apply.)
Correct Answer: B,C,D
Rationale:
Choice A: Restraining can cause injury.
Choice B: Airway assessment ensures breathing.
Choice C: Removing objects prevents injury.
Choice D: Side-lying prevents aspiration.
Choice E:
Tongue depressor can cause harm.
Extract:
Infants who have cystic fibrosis.
Question 3 of 5
A nurse is presenting an in-service about the use of postural drainage for infants who have cystic fibrosis. Which of the following positions should the nurse identify as being contraindicated for the infant?
Correct Answer: D
Rationale: Trendelenburg increases reflux and aspiration risk in cystic fibrosis.
Extract:
Nurses Notes (0700 hrs): Client presents to the ED with guardian. Client reports that they began having pain around their “belly button†the previous evening around 2100. Reports that pain is now in right lower quadrant and became worse earlier this morning. Reports nausea. Abdomen soft with tenderness to palpation in right lower quadrant. Bowel sounds positive in all four quadrants. Verbalizes increase in pain when right hip is flexed and rotated internally. Rates pain as 6 on a 0 to 10 pain scale. Notified provider of client's arrival and assessment data. Prescriptions received. Vital Signs (0700 hrs): Temperature: 37.7°C (99.9°F), Pulse rate: 98/min, Respiratory rate: 22/min, Blood pressure: 124/64 mm Hg, Oxygen saturation: 99% on room air. Diagnostic Results (0700 hrs): CBC and C-Reactive Protein drawn and sent to lab. Nurses Notes (0800 hrs): Client continues to report right lower quadrant pain, now rated as 7 on a 0 to 10 pain scale. Reports increased nausea and has vomited once. Abdomen remains soft with increased tenderness in the right lower quadrant. Bowel sounds remain positive in all four quadrants. Client appears more uncomfortable and is guarding the right lower quadrant. Notified provider of client's status and updated assessment data. Vital Signs (0800 hrs): Temperature: 38.1°C (100.6°F), Pulse rate: 102/min, Respiratory rate: 24/min, Blood pressure: 126/68 mm Hg, Oxygen saturation: 98% on room air. Diagnostic Results (0800 hrs): WBC count: 22,000/mm³, RBC count: 4.5 million/mm³, Hgb: 14 g/dL, Hct: 44%, Platelets: 350,000/mm³, C-Reactive Protein: 11.8 mg/dL.
Question 4 of 5
The nurse has notified the provider of the client's 0800 assessment data and lab results. Which of the following prescriptions should the nurse anticipate?
Correct Answer: B,D,E,F
Rationale:
Choice A: Promethazine is an antiemetic but does not address appendicitis.
Choice B: Consent for surgery is needed for appendectomy.
Choice C: Acetaminophen does not treat the cause.
Choice D: IV antibiotics prevent infection.
Choice E: NPO status prepares for surgery.
Choice F: Ultrasound confirms appendicitis.
Choice G: Enemas could worsen the condition.
Extract:
Infant who has severe dehydration from acute gastroenteritis.
Question 5 of 5
A nurse is admitting an infant who has severe dehydration from acute gastroenteritis. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: 13% weight loss indicates severe dehydration in infants.