ATI Pediatric Primary Health Care II (70 Most Tested Exams Questions with Answers Provided)

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ATI Pediatric Primary Health Care II (70 Most Tested Exams Questions with Answers Provided) 1. The ED nurse is caring for client diagnosed with a cerebral aneurysm, the healthcare provider orders Os... mitrol IV 1.5 g/kg to be infused over 60 minutes. The client weighs 175 lbs, how many grams of mannitol should be administered? (Round to the nearest tenth) Correct Answer: 119.3 g 2. Which client who has just arrived in the emergency department does the nurse classify as emergentand needing immediate medical evaluation? A. A 60-year-old with venous insufficiency who has new-onset right calf pain and tenderness B. A 64-year-old with chronic venous ulcers who has a temperature of 38.1 celcius. C. A 69-year-old with a 40-pack-year cigarette history who is reporting foot numbness.D. A 70-year-old with a history of diabetes who has tearing back pain and is diaphoretic. Response Feedback: D. The client who just arrived in the ED and needs immediate medical evaluation of the 70-year-old with a history of diabetes who has “tearing” back pain and is diaphoretic. This client’s history and clinical manifestations suggest possible aortic dissection. The nurse will immediately assess the client’s blood pressure and plan for IV antihypertensive therapy, rapid diagnostic testing, and possible transfer to surgery 3. The nurse is educating a client with stage IV colon cancer, what statement indicates a need for additional teaching? A. “Stage IV colon cancer means chemotherapy and radiation will not cure this.” B.“Stage IV colon cancer means, I need to have surgery to stop the spread of this” C. “Stage IV colon cancer means the cancer is treatable but not curable” D. “Stage IV colon cancer means it has spread to another part of in my body” Response Feedback: B. “ Stage IV colon cancer means, I need to have surgery to stop the spread of this” 4. A nurse is interviewing a client who has acute pancreatitis. Which of the following factors should thenurse anticipate finding in the client’s history? A.Gallstones B.Hypolipidemia C.COPD D.Diabetes Mellitus Correct Answer: A 5. A ED nurse is preparing to administer amoxicillin 30 mg/kg/day divided equally every 12 hr to a toddler who weighs 32 lb. Available is amoxicillin 200 mg/5 mL suspension. How many mL should the nurse administer per dose? (Round answer to the nearest tenth.) Correct Answer: 5.5ml 6. The ED nurse is caring for a client presenting with complaints of increasing shortness of breath, respiratory rate 32, O2 sats 89%. Which oxygenation device should the nurse recommend for the client?A. Non rebreather mask B. Venturi mask C. Nasal cannula D. Simple face maskResponse Feedback: A. This patient is in respiratory distress the non rebreather mask will supply thehighest concentration of O2 given the devices listed. Venturi mask administers a precise amount of oxygen but only up to a 50% concentration of oxygen. 7. A client with stage IV lung cancer being treated with chemotherapy is becoming increasingly confused. Vital signs are stable, 02 sats are 96% on 2Lnc, a ABG was just completed and results are withinnormal limits. What recommendation should the nurse make to the healthcare provider? A.CT of head B.CXR C.D Dimer D.Lactate level Correct Answer: A 8. The nurse is caring for patient in the ED, 2 hours after admission the client has a SaO2 of 91%, exhibits audible wheezes, and is using accessory muscles when breathing. Which of the following classesof medication should the nurse administer first? A. Corticosteroids B. Beta 2 agonist C. Pneumococcal vaccine D. Antibiotic Response Feedback: B. The priority medication to be given by the nurse would be a beta-2 agonist or bronchodilator to helpdecrease bronchospasm and wheezing. This medication allows for adequate oxygenation by relaxing bronchial smooth muscle in the airways, and acts quickly to maintain airway patency. [Show More]

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