ATI RN
ATI Nur 307 Pediatrics Final Exam Questions
Extract:
A nurse is planning care for a 5-month-old infant who is scheduled for a lumbar puncture to rule out meningitis.
Question 1 of 5
Which of the following actions should the nurse include in the plan of care?
Correct Answer: B
Rationale: The correct answer is B. Holding the infant's chin to his chest and knees to his abdomen during the procedure helps to maintain a flexed position, which can facilitate the procedure and reduce discomfort. This position also helps to stabilize the infant and prevent sudden movements that could interfere with the procedure.
A: Keeping the infant NPO for 6 hours prior to the procedure may not be necessary unless specifically indicated by the healthcare provider.
C: Applying a eutectic mixture of lidocaine and prilocaine cream topically may provide local anesthesia but is not directly related to the positioning during the procedure.
D: Placing the infant in an infant seat for 2 hours following the procedure is not necessary and may not be the best position for comfort or safety post-procedure.
In summary, option B is correct as it directly assists in the procedure, while the other options are either unnecessary or not relevant to the procedure itself.
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 2 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:
A nurse is caring for a 2-month-old infant who is postoperative following surgical repair of a cleft lip.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Encourage the parents to rock the infant. Rocking can help soothe the infant, promote bonding, and aid in calming them down. This action aligns with providing comfort and emotional support to the infant. Offering a pacifier (
A) or administering ibuprofen (
C) may not address the underlying need for comfort and may not be appropriate without assessing the cause of distress. Positioning the infant on her abdomen (
D) is not recommended due to the risk of sudden infant death syndrome.
Extract:
A nurse is prioritizing potential complications that may occur to a pediatric client who has cellulitis.
Question 4 of 5
Which of the following is the primary concern?
Correct Answer: D
Rationale: The correct answer is D: Possible sepsis. Sepsis is a life-threatening condition that can result from an infection spreading throughout the body. It is the primary concern because it requires immediate medical attention to prevent serious complications. Redness in the affected area (
B) may indicate infection but does not necessarily lead to sepsis. Methicillin resistance (
A) is a concern related to antibiotic treatment but not the primary concern. Risk for recurrence (
C) is important but not as urgent as sepsis. The other choices are not provided, so they are not relevant to the primary concern.
Extract:
A nurse is teaching a newly hired nurse about the management of care for the terminal illness of a child.
Question 5 of 5
Which of the following statements by the newly hired nurse indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A because it demonstrates an understanding of the importance of involving clinicians in discussions about the child's prognosis. This statement shows recognition of the collaborative nature of healthcare decision-making.
Choice B is incorrect because palliative care can be offered at any stage of a child's illness, not just when death is imminent.
Choice C is incorrect as parental hope does not necessarily correlate with acceptance of palliative care.
Choice D is incorrect because palliative care can be integrated with curative treatment to provide holistic care.