PEDS ATI B Questions and Answers
Already Passed
A nurse in an emergency department is auscultating the lungs of an adolescent who is
experiencing dyspnea. The nurse should identify the sound as which of the following?
...
PEDS ATI B Questions and Answers
Already Passed
A nurse in an emergency department is auscultating the lungs of an adolescent who is
experiencing dyspnea. The nurse should identify the sound as which of the following?
✔✔Wheezes
The nurse should identify the sound during auscultation as wheezes, which are high-pitched,
musical or whistling-like sounds heard primarily on expiration as air passes through and vibrates
narrowed airways.
A nurse is admitting a 4 month old infant who has heart failure. Which of the following findings
is the nurse's priority? ✔✔Episodes of vomiting
When using the urgent vs. nonurgent approach to client care, the nurse should determine that the
priority finding is three episodes of vomiting. This can indicate digoxin toxicity, which requires
immediate intervention. Therefore, this is the nurse's priority finding.
A nurse in a provider's office is caring for a school-age child who has varicella. The parent asks
the nurse when their child will no longer be contagious. Which of the following responses should
the nurse make? ✔✔When your child's lesions are crusted, usually 6 days after they appear
The nurse should inform the parent that the child is contagious 1 day prior to lesion eruption and
until the vesicles have crusted over, which usually takes about 6 days.
A school nurse is caring for a child following a tonic clonic seizure. Which of the following
actions should the nurse take first? ✔✔Check the child's respiratory rate
When using the airway, breathing, and circulation approach to client care, the nurse should
determine the priority action is to assess the child's respiratory rate. If the child is not breathing,
the nurse should administer rescue breaths.
A nurse is caring for a 10 year old child following a head injury. Which of the following findings
should the nurse identify as an indication that the child is developing diabetes insipidus?
✔✔Sodium 155 mEq/L
A child who has a head injury can develop diabetes insipidus as a result of pituitary hypofunction
leading to a deficiency of antidiuretic hormone. Underexcretion of antidiuretic hormone leads to
polyuria and polydipsia, and possibly dehydration. With the excessive loss of free water, sodium
levels rise above the expected reference range of 136 to
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