ATI RN
ATI Pediatrics Quiz Questions
Extract:
The nurse is assessing a client diagnosed with ventricular septal defect (VSD).
Question 1 of 5
The nurse is aware that many infants with these conditions also receive a diagnosis of which of the following?
Correct Answer: B
Rationale: The correct answer is B: Trisomy 18. Infants with Trisomy 18 often have multiple congenital anomalies, including heart defects and kidney abnormalities, making them more likely to receive a diagnosis of other conditions. Turner syndrome (
A) is a chromosomal disorder that affects females, but it is not commonly associated with infants with Trisomy 18. Spina bifida (
C) is a neural tube defect and not typically linked to infants with Trisomy 18. Trisomy 21 (
D), also known as Down syndrome, is a chromosomal disorder that is distinct from Trisomy 18.
Extract:
A child who has cystic fibrosis (CF).
Question 2 of 5
A nurse is providing discharge teaching about nutrition to the parents of a child who has cystic fibrosis (CF). Which of the following responses by the parents indicates an understanding of the teaching?
Correct Answer: A
Rationale:
Correct
Answer: A: "We will give our child pancreatic enzymes before snacks and meals."
Rationale: Children with CF often have pancreatic insufficiency, leading to poor digestion and absorption of nutrients. Pancreatic enzymes help in the digestion of fats, proteins, and carbohydrates. Taking enzymes before snacks and meals helps ensure proper digestion and absorption of nutrients, promoting optimal growth and development in children with CF.
Summary of incorrect choices:
B: Restricting salt is not a primary concern for children with CF. The focus should be on adequate nutrition and enzyme replacement therapy.
C: Limiting fluid intake can lead to dehydration, which is not recommended for children with CF who are at risk of dehydration due to increased salt loss in sweat.
D: Low-fat meals with limited protein may not provide sufficient calories and nutrients for a child with CF who has increased energy needs due to malabsorption.
Extract:
A child who has suspected epiglottitis.
Question 3 of 5
A nurse is planning care for a child who has suspected epiglottitis. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Place the child in an upright position. This is essential because positioning the child upright helps prevent airway obstruction in suspected epiglottitis. It allows for better airflow and helps maintain the airway patency. Throat culture (
A) and visualizing the epiglottis with a tongue depressor (
C) can provoke a spasm and worsen the airway obstruction. Transporting the child to radiology for a throat x-ray (
D) can delay crucial interventions to secure the airway.
Extract:
A school-age child who has a new diagnosis of asthma.
Question 4 of 5
A nurse is providing education to a school-age child who has a new diagnosis of asthma. Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Avoid triggers that cause an attack. This statement is important because identifying and avoiding triggers such as allergens, smoke, or pollution can help prevent asthma attacks. By minimizing exposure to triggers, the child can better manage their asthma and reduce the risk of exacerbations.
Choices A, B, and C are incorrect:
A: You should stop playing basketball, but you can swim instead - This statement is incorrect as physical activity is important for overall health. The nurse should encourage the child to continue playing sports while managing asthma effectively.
B: Take cromolyn sodium at the first sign of breathing difficulty - While cromolyn sodium is a medication used to prevent asthma attacks, it is not typically used as a rescue medication at the first sign of breathing difficulty.
C: Use the peak expiratory flow meter once per week - Monitoring peak expiratory flow is essential in asthma management, but it should be done more frequently than once per week, especially for a
Extract:
Question 5 of 5
In which congenital heart defect would the nurse need to take upper and lower extremity blood pressures?
Correct Answer: C
Rationale: The correct answer is C: Coarctation of the Aorta (CO
A). In COA, there is a narrowing of the aorta leading to increased blood pressure in the upper extremities and decreased pressure in the lower extremities. By taking blood pressures in both arms and legs, the nurse can assess for this characteristic blood pressure differential. Aortic stenosis (
A) primarily affects the aortic valve, not causing differential blood pressures. Transposition of the Great Vessels (
B) involves aorta and pulmonary artery switching positions, not affecting blood pressures in extremities. Tetralogy of Fallot (
D) involves pulmonary stenosis, right ventricular hypertrophy, VSD, and overriding aorta, not causing differential blood pressures.