ATI RN
ATI Nurs 243 Pediatrics Exam Questions
Extract:
A child who has hemiplegic cerebral palsy.
Question 1 of 5
A home health nurse is doing the first intake visit for a child who has hemiplegic cerebral palsy. When developing a plan of care for this child, which of the following goals is the priority for the nurse to include in the plan of care?
Correct Answer: B
Rationale: The correct answer is B: Modify the home for safety. This is the priority goal because safety is crucial for a child with hemiplegic cerebral palsy to prevent accidents and injuries. Modifying the home environment can help create a safe space for the child to move around independently and reduce the risk of falls or other hazards. Providing activities of daily living (choice
A) and improving communication skills (choice
D) are important goals but ensuring a safe environment takes precedence. Respite services for parents (choice
C) are helpful but not the priority in this case.
Extract:
A school-age girl who had an arterial cardiac catheterization, with a 'wet' bandage soaked with blood.
Question 2 of 5
The nurse is caring for a school-age girl who had an arterial cardiac catheterization. The child tells the nurse that the bandage is 'wet.' On assessment, the bandage and bed are soaked with blood. The nurse must do which of the following FIRST?
Correct Answer: A
Rationale: The correct answer is A: Apply direct pressure at the site and one inch above the catheterization site. This is the first action to control the bleeding by promoting clot formation and preventing further blood loss. Direct pressure helps to compress the arterial puncture site and reduce bleeding. It is crucial to address the immediate concern of excessive bleeding before notifying the healthcare provider or changing the dressing. Placing the bed in the Trendelenburg position is not recommended as it may increase the risk of complications. Reinforcing the bandage without addressing the active bleeding is ineffective. Notifying the interventional cardiologist is important but should follow the immediate intervention of applying direct pressure to control the bleeding.
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 3 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: The correct answer is C: Immediately report this finding as this is life threatening. The absence of drainage from mediastinal chest tubes post open repair of a Ventricular Septal Defect can indicate a potential complication such as cardiac tamponade or tension pneumothorax, both of which are life-threatening emergencies requiring prompt intervention. The nurse should prioritize reporting this finding to the healthcare provider to ensure timely assessment and management.
Choices A, B, and D are incorrect because they do not address the urgent nature of the situation and may delay necessary interventions.
Extract:
A 4-year-old boy who has cerebral palsy, whose parents have taken his name off the list for baseball next season.
Question 4 of 5
A nurse is speaking with the parents of a 4-year-old boy who has a cerebral palsy. The parents tell the nurse they have taken their son's name off the list for baseball next season. Which of the following is the BEST response for the nurse to make?
Correct Answer: C
Rationale: The correct answer is C: "Would you like to talk about your decision and discuss alternatives?" This response shows empathy, understanding, and a willingness to support the parents. It opens up a dialogue to explore the reasons behind their decision and helps identify potential alternative activities for their son. It also demonstrates a patient-centered approach, acknowledging the parents' autonomy in decision-making.
Choice A is incorrect because it assumes baseball cannot be adapted, which may not be true.
Choice B suggests a different activity without addressing the parents' concerns.
Choice D is incorrect as it assumes the boy's emotions without confirming them.
Extract:
A school aged child being evaluated for possible glomerulonephritis.
Question 5 of 5
A school aged child is being evaluated for possible glomerulonephritis. During the physical exam the nurse recognizes that which of the following, is a possible cause?
Correct Answer: D
Rationale: The correct answer is D: Treatment for strep throat within the last two weeks. Glomerulonephritis can be caused by a complication of untreated strep throat known as poststreptococcal glomerulonephritis. This occurs when the immune system mistakenly attacks the kidneys while fighting off the strep infection. The other choices are incorrect because:
A) a runny nose and itchy eyes suggest allergies or a mild respiratory infection, not glomerulonephritis;
B) treatment for a viral illness does not typically lead to glomerulonephritis;
C) treatment for a urinary tract infection is unlikely to cause glomerulonephritis unless there are complications; and E-G) additional options were not provided.