ATI Pediatric Proctored Exam

ATI Pediatric Proctored Exam Related

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A patient in the emergency department reports taking sildenafil (Viagra) and nitroglycerin 1 hr before sexual activity. Which finding should the nurse immediately report to the physician?

  • A. WBC of 3200 units/L
  • B. RR of 26 breaths/min
  • C. Temp of 38°C
  • D. BP of 70/50
Correct Answer: D

Rationale: The correct answer is D: BP of 70/50. When sildenafil (Viagra) is taken with nitroglycerin, it can cause severe hypotension that is unresponsive to treatment. The combination of these medications can lead to a dangerous drop in blood pressure. It is crucial to immediately report hypotension in this scenario. It is recommended to allow at least 24 hours to elapse between the last dose of sildenafil and nitroglycerin to prevent such adverse effects. The other vital signs and lab values may be abnormal but do not have the immediate life-threatening implications that severe hypotension does in this context.

You may also like to solve these questions

The most commonly used reference range is generally given as the mean of the reference population ±2 standard deviations. The term 'normal distribution' refers to which of the following?

  • A. gaussian distribution
  • B. exponential distribution
  • C. skewed distribution
  • D. uniform distribution
Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

When teaching a parent of a child with hemophilia, which of the following instructions should the nurse include?

  • A. Administer aspirin for pain.
  • B. Avoid administering NSAIDs.
  • C. Restrict physical activities.
  • D. Apply heat to joints.
Correct Answer: B

Rationale: The correct answer is B: 'Avoid administering NSAIDs.' Hemophilia is a condition where blood does not clot properly. NSAIDs (Nonsteroidal Anti-Inflammatory Drugs) can increase the risk of bleeding in individuals with hemophilia. Therefore, it is crucial for the parent to avoid giving their child NSAIDs for pain management to prevent exacerbating bleeding tendencies.

Which child does not need a urinalysis to evaluate for a UTI?

  • A. A 4-month-old female with fussiness, poor appetite, T 100.8°F, HR 120.
  • B. A 4-year-old female with dysuria and frequent urination; vitals are normal.
  • C. An 8-year-old male with a history of ureteral reimplantation but no current symptoms.
  • D. A 12-year-old female with lower right back pain and T 101.5°F.
Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

A 5-year-old girl requires a craniotomy for subarachnoid hemorrhage following a motor vehicle collision. Which of the following parameters is consistent with a postoperative diagnosis of syndrome of inappropriate antidiuretic hormone secretion (SIADH)?

  • A. Serum osmolality 300 mOsm/L
  • B. Serum sodium 128 mEq/L
  • C. Urine sodium < 20 mmol/L
  • D. N/A
Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

A nurse is caring for a child who has a new diagnosis of osteomyelitis. Which of the following actions should the nurse take?

  • A. Administer aspirin for pain.
  • B. Apply ice to the affected area.
  • C. Monitor the child’s weight daily.
  • D. Limit the child's activity.
Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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