ATI Pediatrics Proctored Exam 2023 Quizlet

Correct Answer: D

Rationale: When a child with a history of seizures presents in status epilepticus, the priority nursing action is to maintain a patent airway. This is crucial to ensure proper oxygenation and ventilation. Establishing an intravenous line and performing other assessments are important but maintaining a patent airway takes precedence to prevent hypoxia and ensure the child's safety.

Correct Answer: A

Rationale: The signs and symptoms of dysuria and urgency in a child with daytime enuresis are indicative of a urinary tract infection. These symptoms, including urinary frequency and pain during urination, commonly point towards a UTI. Nephrotic syndrome typically presents with edema, proteinuria, hypoalbuminemia, and hyperlipidemia. Acute glomerulonephritis is characterized by hematuria, proteinuria, hypertension, and oliguria. Vesicoureteral reflux may lead to recurrent UTIs but does not directly present with dysuria and urgency.

Correct Answer: A

Rationale: In the case of acute gastroenteritis in a 2-month-old infant who is bottle feeding, the nurse should recommend offering Pedialyte between formula feedings. This helps prevent dehydration and ensures that the infant receives essential electrolytes and fluids to aid in recovery. Pedialyte is specifically formulated to help replace lost fluids and electrolytes due to vomiting and diarrhea, making it a suitable choice for infants with gastroenteritis.

Correct Answer: B

Rationale: When a patient is already receiving glucocorticoids for rheumatoid arthritis and complains of a headache, it is essential to consider the potential interactions and side effects of additional medications. Aspirin and NSAIDs like ibuprofen and naproxen sodium can increase the risk of gastrointestinal irritation and ulceration when used concurrently with glucocorticoids. Acetaminophen is a safer choice in this scenario for managing the patient's headache without exacerbating the gastrointestinal issues associated with the use of glucocorticoids.

Correct Answer: D

Rationale: In hyperkalemia, cardiac arrhythmias are the most critical and life-threatening manifestation that requires immediate intervention. Hyperkalemia can lead to dangerous heart rhythm disturbances, potentially resulting in cardiac arrest. Prompt treatment is essential to stabilize the heart rhythm and prevent life-threatening complications.