ATI RN
ATI Pediatrics Unit 2 Exam Questions
Extract:
The nurse is providing anticipatory teaching to parents about pubescent changes in school-aged and young adolescent girls.
Question 1 of 5
The nurse is providing anticipatory teaching to parents about pubescent changes in school-aged and young adolescent girls. Which of the following changes should the nurse include in the teaching?
Correct Answer: C,D,E
Rationale: The correct answer includes breast development (
C), menarche (
D), and increased axillary hair (E) because these are typical pubescent changes in school-aged and young adolescent girls. Breast development signifies the onset of puberty, menarche indicates the beginning of menstruation, and increased axillary hair is a result of hormonal changes. Vocal changes (
A) are more associated with boys during puberty. Decreased height (
B) is not a common pubescent change but could be a sign of a growth disorder.
Therefore, the correct answer is C, D, and E as they are key indicators of pubescent changes in girls.
Extract:
None provided
Question 2 of 5
Which of the following cognitive abilities are characteristic of a school-aged child in Piaget's concrete operational stage? (select all that apply)
Correct Answer: C,D
Rationale: The correct answers are C and D. In Piaget's concrete operational stage, children develop the ability to perform logical operations on concrete objects (choice
C) and understand the concept of conservation (choice
D). This means they can manipulate objects mentally and understand that quantity remains the same despite changes in appearance. Object permanence (choice
A) is a sensorimotor stage milestone. Egocentric thinking (choice
B) is characteristic of the preoperational stage. The use of symbolic play (choice E) is more related to the preoperational stage as well.
Therefore, choices A, B, and E are incorrect for a school-aged child in Piaget's concrete operational stage.
Question 3 of 5
Which of the following are common manifestations and potential consequences of an adolescent's feelings of invulnerability? (Select all that apply)
Correct Answer: A,B,E
Rationale: The correct choices are A, B, and E. Adolescents experiencing feelings of invulnerability are more likely to engage in risky behaviors like increased risk-taking, leading to potential consequences such as accidental injuries and substance abuse. This is because they believe they are immune to negative outcomes. On the other hand, choices C, D, and F are incorrect. Feeling invulnerable does not necessarily reduce mental health issues, improve social relationships, or enhance academic performance. In fact, these feelings can lead to isolation, strained relationships, and a lack of focus on academic responsibilities.
Extract:
A nurse is providing teaching for a parent of a preschool-aged child who had a myringotomy with a tympanoplasty tube insertion 4 days ago.
Question 4 of 5
A nurse is providing teaching for a parent of a preschool-aged child who had a myringotomy with a tympanoplasty tube insertion 4 days ago. Which of the following actions should the nurse identify as an indication that the teaching was effective?
Correct Answer: A,C,D,E
Rationale: The correct answer includes actions that demonstrate proper post-operative care for a child who had myringotomy with tympanoplasty tube insertion. A: Applying prescribed medication ensures proper healing. C: Enforcing nose blowing only when necessary prevents pressure changes in the ear. D: Using ear plugs in the shower prevents water from entering the ear. E: Noticing purulent drainage and reporting it promptly is crucial to prevent infection.
Choices B and F are incorrect as lifting the child can strain the surgical site and compromise healing.
Choice G is incorrect as it does not relate to post-operative care for the child's ear surgery.
Extract:
A child is admitted to the pediatric unit with a diagnosis of Kawasaki disease.
Question 5 of 5
A child is admitted to the pediatric unit with a diagnosis of Kawasaki disease. Which nursing intervention is most appropriate during this initial phase?
Correct Answer: D
Rationale: The correct answer is D: Administering intravenous immunoglobulin (IVIG). During the initial phase of Kawasaki disease, IVIG is the most appropriate nursing intervention as it helps reduce the risk of coronary artery aneurysms, which is a common complication of the disease. IVIG also helps to decrease inflammation and prevent further damage to the coronary arteries. Administering antibiotics (
A) is not indicated for Kawasaki disease as it is not caused by a bacterial infection. Monitoring for signs of coronary artery aneurysms (
B) is important but not the most appropriate initial intervention. Providing comfort measures for peeling skin on the hand (
C) is not a priority during the initial phase when the focus is on preventing cardiac complications.