ATI RN
ATI Pediatrics Exam 4 Questions
Extract:
Clay diagnosed with heart failure
Question 1 of 5
Which of the following would Nurse Tony supposed to regard as a cardinal manifestation or symptom of digoxin toxicity to his patient Clay diagnosed with heart failure?
Correct Answer: D
Rationale: Extreme bradycardia is a hallmark of digoxin toxicity due to its effect on the heart's electrical conduction. A, B, and C are less specific or secondary symptoms.
Extract:
A pediatric patient with supraventricular tachycardia (SVT)
Question 2 of 5
Which of the following interventions is not recommended for a pediatric patient with supraventricular tachycardia (SVT)?
Correct Answer: A
Rationale: Cardioversion is not first-line for pediatric SVT, reserved for unstable cases. Vagal maneuvers, adenosine, and monitoring are standard interventions.
Extract:
Molly, with suspected rheumatic fever
Question 3 of 5
Molly, with suspected rheumatic fever, is admitted to the pediatric unit. When obtaining the child's history, the nurse considers which information to be most important?
Correct Answer: B
Rationale: A recent streptococcal pharyngitis is critical, as it often triggers rheumatic fever. A, C, and D are less specific to the diagnosis.
Extract:
Archie who weighs 44 lb has been given an order for amoxicillin 500 mg bid to take before a dentist appointment based on his history of infective endocarditis. The drug test shows that the daily dose of amoxicillin is 50 mg/kg/day in two divided doses.
Question 4 of 5
What dose in milligrams is safest for this child?
Correct Answer: A
Rationale: Archie's weight (44 lb = 19.96 kg) at 50 mg/kg/day yields 998 mg/day, or 499 mg per dose. The prescribed 500 mg is safe and closest to the calculated dose. B, C, and D deviate significantly.
Extract:
Children with congenital heart diseases
Question 5 of 5
Which of the following congenital heart diseases require multiple surgeries to correct? (Select All that Apply)
Correct Answer: A,B,E
Rationale: Tetralogy of Fallot, Hypoplastic Left Heart Syndrome, and Coarctation of the Aorta often require multiple surgeries due to their complexity. C and D typically need single interventions or may resolve spontaneously.