ATI RN
ATI Nur 223a Sect 4 Pediatrics Final Exam Questions
Extract:
Vital Signs (0700 hrs): Temperature: 39°C (102.2°F), Heart rate: 148/min, Respiratory rate: 42/min, Blood pressure: 87/44 mm Hg, SpO2: 89% on room air. Nurse's Notes (0700 hrs): The toddler presents with a high fever, cough, and difficulty breathing. The mother reports that the child has been irritable and not eating well for the past two days. The child is observed to have nasal flaring and intercostal retractions. Breath sounds are diminished with wheezing heard bilaterally. The child is restless and crying intermittently. The mother denies any known allergies or recent travel. The child has a history of frequent upper respiratory infections. Diagnostic Results (0700 hrs): Rapid RSV antibody test: Positive (per nasal swab), Blood culture: Pending, Hgb: 10 g/dL, Hct: 40%, WBC: 10,000/mm³, Platelets: 230,000/mm³, Glucose: 82 mg/dL, BUN: 18 mg/dL. Medication Administration Record (0700 hrs): Albuterol 2.5 mg via nebulizer now. May repeat every 20 min for 1 hr as needed for wheezing and retractions. Oxygen 2 L/min via nasal cannula.
Question 1 of 5
Which of the following findings should the nurse identify as an indication that the treatment plan is effective? (Select all that apply.)
Correct Answer: C,D,E
Rationale:
Choice A: Nasal flaring indicates ongoing distress.
Choice B: Retractions indicate ongoing distress.
Choice C: Improved oxygen saturation shows effective treatment.
Choice D: Clearer breath sounds indicate improved lung function.
Choice E: Decreased respiratory rate shows reduced distress.
Choice F: Heart rate is not a specific indicator of respiratory function.
Extract:
Infant's vital signs.
Question 2 of 5
A nurse is preparing to measure an infant's vital signs. The nurse should use which of the following sites to assess a heart rate?
Correct Answer: A
Rationale: The apex of the heart provides the most accurate heart rate measurement in infants.
Extract:
Child with polycythemia caused by a congenital heart disorder.
Question 3 of 5
Which health teaching concept should the nurse emphasize when instructing the parents of a child with polycythemia caused by a congenital heart disorder?
Correct Answer: D
Rationale: Preventing dehydration reduces blood viscosity and thrombotic risk.
Extract:
Child who is experiencing status asthmaticus.
Question 4 of 5
A nurse is caring for a child who is experiencing status asthmaticus. Which of the following interventions is the priority for the nurse to take?
Correct Answer: C
Rationale: SABA provides rapid bronchodilation, critical in status asthmaticus.
Extract:
School-age child who has mild persistent asthma.
Question 5 of 5
A nurse is caring for a school-age child who has mild persistent asthma. Which of the following is an expected finding? (Select all that apply.)
Correct Answer: A,C,E
Rationale:
Choice A: Daytime symptoms more than twice a week are expected.
Choice B: Nighttime symptoms twice a month indicate intermittent asthma.
Choice C: Minor activity limitations are expected.
Choice D: Continuous symptoms indicate severe asthma.
Choice E: PEF ≥80% is expected.