ATI RN
ATI Nur 307 Pediatrics Final Exam Questions
Extract:
A pediatric client in sickle cell crisis comes to the hospital.
Question 1 of 5
When assessing the client, the nurse should expect to find which of the following manifestations?
Correct Answer: C
Rationale: The correct answer is C: Pain. When assessing a client, the nurse should expect to find manifestations that indicate the presence of pain, as pain is a common symptom that requires prompt assessment and management. Pain assessment is crucial in determining the client's comfort level and addressing their needs effectively. Constipation, bradycardia, and fever are potential manifestations of various health conditions but may not necessarily be expected findings during a routine assessment.
Therefore, pain is the most relevant manifestation to anticipate during a client assessment.
Extract:
A nurse is teaching the parents of a toddler who has a cognitive impairment about toilet training.
Question 2 of 5
Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A because positive reinforcement, such as awarding a sticker, helps reinforce desired behavior, in this case, sitting on the potty chair. This method encourages the child to repeat the behavior.
Choice B may distract the child from focusing on the task.
Choice C can overwhelm the child with too much information.
Choice D is counterproductive as scolding can lead to negative associations with toileting.
Extract:
The family has just been informed by the healthcare provider that their newborn is diagnosed with a congenital heart defect, Tetralogy of Fallot (TOF).
Question 3 of 5
What will the nurse tell the family about the defects of TOF? Select all that apply.
Correct Answer: A,B,C,E
Rationale: The correct answer is A, B, C, and E. TOF (Tetralogy of Fallot) is characterized by four defects: pulmonary stenosis (
A), overriding aorta (
B), right ventricular hypertrophy (
C), and ventricular septal defect (E). Pulmonary stenosis causes obstruction of blood flow from the right ventricle to the pulmonary artery. Overriding aorta refers to the aorta being positioned directly over the ventricular septal defect instead of just over the left ventricle. Right ventricular hypertrophy occurs due to increased workload on the right ventricle. Ventricular septal defect is a hole between the heart's lower chambers.
Choices D, F, and G are incorrect as they do not correspond to the defects typically seen in TOF.
Extract:
The parents report the 7-year-old awoke with a tympanic temperature of 39.2°C, sore throat, drooling, and difficulty swallowing.
Question 4 of 5
Which of the following actions is the nurse's priority?
Correct Answer: C
Rationale: The correct answer is C: Prepare for intubation. This is the nurse's priority because it addresses the most critical and life-threatening issue first, which is ensuring the patient's airway is secure and adequate oxygenation is maintained. Intubation may be necessary to protect the patient's airway in cases of respiratory distress or failure. Administering an antipyretic (
B) may be important for fever management but is not as urgent as ensuring the airway. Obtaining culture specimens (
A) and inserting an IV catheter (
D) are important tasks but are not as time-sensitive as preparing for intubation.
Extract:
A nurse reports an incident of suspected child abuse.
Question 5 of 5
Which of the following responses by the nurse is appropriate when a parent demands to know the reason?
Correct Answer: C
Rationale: The correct answer is C. As a nurse, it is crucial to follow mandatory reporting laws for suspected child abuse. By stating that they are required by law to report suspected abuse, the nurse is being transparent and upholding their ethical duty to protect the child's well-being.
Choice A implies passing off responsibility to the supervisor without directly addressing the parent.
Choice B delays communication and doesn't provide direct information.
Choice D shifts responsibility to the provider without addressing the parent's immediate concerns.