ATI RN
ATI Pediatrics Exam 4 Questions
Extract:
An 8-year-old following a post-cardiac catheterization procedure
Question 1 of 5
A pediatric nurse is seeing an 8-year-old following a post-cardiac catheterization procedure. Which of the following interventions ordered by the physician should be questioned by the nurse? (Select All that Apply)
Correct Answer: C
Rationale: The correct answer is C: Encourage play and activity. After a cardiac catheterization procedure, it is important to limit physical activity to prevent complications such as bleeding or dislodging of the catheter. Encouraging play and activity can increase the risk of these complications. The other options are appropriate interventions:
A) Monitoring for bleeding is crucial after the procedure.
B) Checking pulses and temperature helps assess circulation and detect any issues promptly.
D) Early ambulation is beneficial to prevent blood clots. E) Monitoring cardiac function and oxygen saturation is essential to ensure the child's stability post-procedure.
Extract:
A 2-day-old baby boy diagnosed with hypospadias
Question 2 of 5
A nurse on a mother-baby unit is caring for a 2-day-old baby boy. The patient was seen by a urologist at 0000 and was diagnosed with hypospadias. Which order by the pediatrician is contraindicated?
Correct Answer: D
Rationale: The correct answer is D: Circumcision. At 2 days old, the baby has been diagnosed with hypospadias, a condition where the urethral opening is on the underside of the penis. Circumcision in this case is contraindicated because it can interfere with future corrective surgery for hypospadias. Hypospadias repair surgery often requires tissue from the foreskin for reconstruction, so circumcising the baby now could complicate the surgery later on. The other choices (A, B, and
C) are not contraindicated at this time. Hepatitis B vaccine is important for the baby's health, straight catheterization may be necessary for monitoring urinary output, and hearing screening is a routine test for newborns.
Extract:
A child has lost 8 pounds after 4 days of hospitalization for acute glomerulonephritis.
Question 3 of 5
The nurse notes that a child has lost 8 pounds after 4 days of hospitalization for acute glomerulonephritis. What is most likely the cause of the weight loss?
Correct Answer: D
Rationale: The correct answer is D: Reduction of edema. In acute glomerulonephritis, there is often significant fluid retention leading to edema. As the child receives treatment and responds positively, the excess fluid accumulated in the body is excreted, resulting in weight loss. Poor appetite (
A) would lead to weight loss over a longer period, not within 4 days. Bed rest (
B) may impact muscle mass but not significantly affect weight loss in such a short time frame. Increased potassium intake (
C) would not directly result in weight loss.
Therefore, the reduction of edema (
D) is the most likely cause of the weight loss observed in this scenario.
Extract:
An 8-year-old patient presents to his clinic, complaining of dizziness, headaches, and epistaxis. The nurse took the patient's vital signs and noticed that he had high blood pressure in his arms and bounding upper extremity pulses; however, when she proceeded to check his lower extremity pulses, they were weak, and his legs were pale and cool to touch.
Question 4 of 5
What does this patient present signs of?
Correct Answer: B
Rationale: The correct answer is B: Coarctation of the Aorta. This condition is characterized by narrowing of the aorta, leading to high blood pressure in the upper body and weak pulses in the lower body. Signs include hypertension in upper extremities, weak or absent lower extremity pulses, and possibly a heart murmur. Tetralogy of Fallot (
A) presents with cyanosis, murmur, and clubbing. Pulmonic Stenosis (
C) manifests with a systolic ejection murmur and right ventricular hypertrophy. Tricuspid Atresia (
D) involves cyanosis, heart murmur, and clubbing.
Extract:
Nick was diagnosed with Hypoplastic Left Heart Syndrome.
Question 5 of 5
Which of the following responses should the nurse educate his parents regarding the treatment of this disease?
Correct Answer: A
Rationale: The correct answer is A because it correctly states that surgery is a palliative measure for the disease. This means that surgery will help manage symptoms and improve quality of life but will not cure the underlying condition.
Choice B is incorrect because creating an opening between the atria and ventricles is not a cure for the disease.
Choice C is incorrect because the problem is not caused by displacement of arteries, so surgery to put them back in place is not the appropriate treatment.
Choice D is incorrect because prostaglandin may help in certain cases but is not a definitive treatment for this disease.