ATI RN
ATI Nur223g Pediatrics Sect 2 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: C
Rationale: Tetralogy of Fallot is associated with polycythemia due to chronic hypoxemia. The body produces more red blood cells in response to low oxygen levels, leading to an increased hematocrit.
Extract:
A child who has nephrotic syndrome.
Question 2 of 5
A nurse is assessing a child who has nephrotic syndrome. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Facial edema is a common finding in nephrotic syndrome due to fluid retention and is often noticeable in the periorbital area.
Extract:
A boy with Tetralogy of Fallot.
Question 3 of 5
The nurse would teach the mother of a boy with Tetralogy of Fallot that if the child suddenly becomes cyanotic and dyspneic, the mother should:
Correct Answer: A
Rationale: The knee-chest position increases systemic vascular resistance, which helps to divert more blood to the pulmonary circulation, improving oxygenation in a child experiencing a 'tet spell' or hypercyanotic episode.
Extract:
A client who has heart failure and a history of asthma.
Question 4 of 5
The nurse is caring for a client who has heart failure and a history of asthma. The nurse reviews the provider's orders and recognizes that clarification is needed for which of the following medications?
Correct Answer: B
Rationale: Carvedilol is a beta-blocker used to manage heart failure, but it can also cause bronchoconstriction, which is dangerous for clients with asthma. Beta-blockers can exacerbate asthma symptoms, so clarification is needed before administration.
Extract:
A 1-year-old child.
Question 5 of 5
A nurse is preparing to administer vaccines to a 1-year-old child. Which of the following vaccines should the nurse give? (Select all that apply.)
Correct Answer: A,C,E
Rationale: DTaP is recommended at 15-18 months, varicella at 12-15 months, and MMR at 12-15 months, making them appropriate for a 1-year-old.