ATI RN
ATI Nurs 243 Pediatrics Exam Questions
Extract:
A preschool aged child immediately following an open repair of a Ventricular Septal Defect, with no drainage from the mediastinal chest tubes in the last 2 hours.
Question 1 of 5
The nurse is caring for a preschool aged child immediately following an open repair of a Ventricular Septal Defect. There has been no drainage from the mediastinal chest tubes in the last 2 hours. Based on this finding what will be the nurse's priority intervention?
Correct Answer: C
Rationale: Lack of drainage from the chest tubes following cardiac surgery can be life-threatening, indicating possible cardiac tamponade or tube occlusion. Immediate reporting is necessary for prompt intervention.
Extract:
Patients with 24-hour Holter monitor diaries.
Question 2 of 5
The nurse is reviewing 24-hour Holter monitor diaries of various patients. Which of the following entries is the MOST complete?
Correct Answer: B
Rationale: This entry is the most complete as it includes the time, activity (basketball practice), symptom (dizziness), absence of loss of consciousness, and relevant detail (no caffeine intake), giving a comprehensive picture of the patient's experience.
Extract:
An infant with a myelomeningocele.
Question 3 of 5
The nurse understands that in the preoperative period the infant with a myelomeningocele must be placed in which of the following positions?
Correct Answer: D
Rationale: Prone with hips flexed and legs abducted is the best position to avoid pressure on the myelomeningocele sac, prevent trauma, and reduce the risk of infection before surgical repair.
Extract:
A school-aged child undergoing a bone marrow aspiration and biopsy.
Question 4 of 5
The nurse understands that which of the following interventions is the MOST effective at relieving pain and discomfort during a bone marrow aspiration and biopsy for a school-aged child?
Correct Answer: C
Rationale: Conscious or unconscious sedation is the most effective intervention to relieve pain and discomfort during a bone marrow aspiration and biopsy, ensuring the child is adequately sedated and comfortable.
Extract:
A 3-year-old child with congestive heart failure resulting from an underlying congenital heart defect, prescribed digoxin and furosemide.
Question 5 of 5
A 3-year-old child with congestive heart failure resulting from an underlying congenital heart defect, is prescribed digoxin and furosemide. Which of the following assessment findings are MOST concerning?
Correct Answer: C
Rationale: An apical pulse of 70 beats/minute and vomiting are concerning because they may indicate digoxin toxicity. A low heart rate (bradycardia) in a child on digoxin requires immediate attention.