ATI (ati)
❖ 42 LATEST VERSIONS
❖ 4000+ QUESTIONS AND ANSWERS
❖ 100% CORRECT
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5 STAR
Complete and Latest
Guide For
ATI PN NURSING CARE OF CHILDREN PROCTORED
EXAM
2023
nurse is admitting a 4monthold infant who has heart failure. Which of the following findings is the nurse's priority? (look at exhibit) Vital
Signs
Temperature 37.5° C (99.5°)
Heart rate 70/min
Respirations 30/min
Birth weight 3.2 kg (7 lb)
Current weight 5.9 (13 lb)
Flow Sheet
3 episodes of
,vomiting 6 wet
,diapers in 24 hr
Consumed 3 oz concentrated formula every 3 hr
Medication Record
Digoxin 0.5 mcg PO Q12H
Furosemide 20 mg PO
Q12H
a. Episodes of vomiting
b. Formula consumption
c. Weight
d. Temperature
Answer a. Episodes of vomiting. When using the urgent vs. nonurgent approach to client care, the nurse determines that the priority finding is
three episodes of vomiting. This can indicate digoxin toxicity, which requires immediate intervention; therefore, this is the priority finding.
B A 4monthold infant who has heart failure requires 3 to 4 oz of formula every 3 hr to adequately address caloric needs; therefore, there is
another finding that is the nurse's priority. A feeding schedule of every 2 hr does not allow sufficient rest time between feedings, and a feeding
schedule of every 4 hr requires consumption of a higher volume, which is often not tolerated by the infant.
C A weight of 5.9 kg (13 lb) is an expected finding for a 4monthold infant who weighed 3.2 kg (7 lb) at birth; therefore, there is another finding
that is the nurse's priority. The infant should gain 680 g (1.5 lb) per month until the age of 5 months, and double his birth weight at the age of 6
months.
D A temperature of 37.5ºC (99.5ºC) is within the expected reference range for a 4 monthold infant; therefore, there is another finding that
is the nurse's priority.
A nurse is providing discharge teaching to the parents of a 6monthold infant who is postoperative following hypospadias repair with a stent
placement. Which of the following instructions should the nurse include in the teaching?
a. "You may bathe your infant in an infant bathtub when you go home."
b. "Apply hydrocortisone cream to your infant's penis daily."
c. "You should clamp your infant's stent twice daily."
d. "Allow the stent to drain directly into your infant's diaper."
VERSION 2
❖ 42 LATEST VERSIONS
❖ 4000+ QUESTIONS AND ANSWERS
❖ 100% CORRECT
❖ RATED: A+
❖ BEST DOCUMENT FOR EXAM PREPARATION
5 STAR
Complete and Latest
Guide For
ATI PN NURSING CARE OF CHILDREN PROCTORED
EXAM
2023
nurse is admitting a 4monthold infant who has heart failure. Which of the following findings is the nurse's priority? (look at exhibit) Vital
Signs
Temperature 37.5° C (99.5°)
Heart rate 70/min
Respirations 30/min
Birth weight 3.2 kg (7 lb)
Current weight 5.9 (13 lb)
Flow Sheet
3 episodes of
,vomiting 6 wet
,diapers in 24 hr
Consumed 3 oz concentrated formula every 3 hr
Medication Record
Digoxin 0.5 mcg PO Q12H
Furosemide 20 mg PO
Q12H
a. Episodes of vomiting
b. Formula consumption
c. Weight
d. Temperature
Answer a. Episodes of vomiting. When using the urgent vs. nonurgent approach to client care, the nurse determines that the priority finding is
three episodes of vomiting. This can indicate digoxin toxicity, which requires immediate intervention; therefore, this is the priority finding.
B A 4monthold infant who has heart failure requires 3 to 4 oz of formula every 3 hr to adequately address caloric needs; therefore, there is
another finding that is the nurse's priority. A feeding schedule of every 2 hr does not allow sufficient rest time between feedings, and a feeding
schedule of every 4 hr requires consumption of a higher volume, which is often not tolerated by the infant.
C A weight of 5.9 kg (13 lb) is an expected finding for a 4monthold infant who weighed 3.2 kg (7 lb) at birth; therefore, there is another finding
that is the nurse's priority. The infant should gain 680 g (1.5 lb) per month until the age of 5 months, and double his birth weight at the age of 6
months.
D A temperature of 37.5ºC (99.5ºC) is within the expected reference range for a 4 monthold infant; therefore, there is another finding that
is the nurse's priority.
A nurse is providing discharge teaching to the parents of a 6monthold infant who is postoperative following hypospadias repair with a stent
placement. Which of the following instructions should the nurse include in the teaching?
a. "You may bathe your infant in an infant bathtub when you go home."
b. "Apply hydrocortisone cream to your infant's penis daily."
c. "You should clamp your infant's stent twice daily."
d. "Allow the stent to drain directly into your infant's diaper."
VERSION 2
