ATI RN
ATI Nursing Proctored Pediatric Test Banks Questions
Question 1 of 5
The nurse is admitting a newborn with hypospadias to the nursery. The nurse expects which finding in this newborn?
Correct Answer: D
Rationale: Hypospadias is a congenital condition where the opening of the urethra is located on the ventral surface of the penis instead of the tip. This results in the ventral placement of the urethral meatus compared to the normal dorsal position. It can typically be visually identified when examining the newborn's genitalia. A key characteristic of hypospadias is the abnormal positioning of the urethral opening, which distinguishes it from other conditions affecting the male genitalia.
Question 2 of 5
What does the surgical closure of the ductus arteriosus do?
Correct Answer: A
Rationale: The ductus arteriosus is a fetal blood vessel that allows blood to bypass the lungs while in utero. After birth, the ductus arteriosus should close to redirect blood flow through the lungs for oxygenation. Surgical closure of the ductus arteriosus is performed to prevent the shunting of unoxygenated blood from the pulmonary artery to the aorta, therefore stopping the loss of unoxygenated blood to the systemic circulation. This helps to ensure that oxygenated blood is properly circulated to the body tissues and organs.
Question 3 of 5
The nurse is caring for a child after heart surgery. What should the nurse do if evidence of cardiac tamponade is found?
Correct Answer: C
Rationale: If evidence of cardiac tamponade is found in a child after heart surgery, it is crucial for the nurse to immediately report this to the physician. Cardiac tamponade is a serious condition where excess fluid or blood accumulates in the pericardial sac, compressing the heart and affecting its ability to pump effectively. Prompt recognition and intervention are essential to prevent potential life-threatening outcomes. The physician would need to assess the child's condition, consider performing procedures to relieve the tamponade such as pericardiocentesis, and provide appropriate treatment to stabilize the child. Delaying reporting and action in cases of cardiac tamponade can lead to further complications and worsen the child's condition.
Question 4 of 5
Nursing interventions for the child after a cardiac catheterization should include which actions? (Select all that apply.)
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
A 36-year-old man is scheduled for a unilateral orchiectomy for treatment of testicular cancer. He is withdrawn and does not interact with the nurse. Which action is most appropriate?
Correct Answer: D
Rationale: Option D is the most appropriate action in this scenario because it demonstrates empathy and opens the door for the patient to express his concerns. By acknowledging the patient's withdrawn behavior and directly inquiring about his feelings regarding the diagnosis or treatment, the nurse creates an opportunity for the patient to share his thoughts and concerns. This open-ended question allows the patient to express himself without any assumptions or judgments. It shows that the nurse is attentive, supportive, and willing to listen to the patient's emotional needs during this challenging time.