ATI RN
ATI Pediatrics Test Bank Questions
Question 1 of 5
Which side effects should the nurse monitor when a child is taking an antipsychotic medication? (Select all that apply.)
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
A chest radiograph film is ordered for a child with suspected cardiac problems. The child's parent asks the nurse, "What will the radiograph show about the heart?" What knowledge about the x-ray should the nurse include in the response to the parents?
Correct Answer: C
Rationale: A chest radiograph film, commonly known as a chest X-ray, shows a permanent record of the size and configuration of the heart. It can provide information about the overall size and shape of the heart, the presence of any abnormalities (such as an enlarged heart), and the position of the heart within the chest cavity. While a chest X-ray can also show the bones of the chest, it is primarily used to visualize the heart and lungs. It does not measure electrical potential generated from heart muscle (which would be seen on an ECG) or show a computerized image of heart vessels and tissues (which would typically require more advanced imaging techniques such as a CT scan or MRI).
Question 3 of 5
An 8-month-old infant has a hypercyanotic spell while blood is being drawn. What is the priority nursing action?
Correct Answer: B
Rationale: When an 8-month-old infant has a hypercyanotic spell, the priority nursing action is to place the child in the knee-chest position. This position helps to increase venous return to the heart and improve systemic circulation, which can relieve the cyanosis by decreasing right-to-left shunting of blood. Placing the child in the knee-chest position helps optimize oxygenation and circulation, which is crucial during a hypercyanotic spell. Assessing for neurologic defects, beginning cardiopulmonary resuscitation, or preparing the family for imminent death are not the priority actions during a hypercyanotic spell in this scenario.
Question 4 of 5
Which clinical manifestation should the nurse expect to see as shock progresses in a child and becomes decompensated shock?
Correct Answer: D
Rationale: As shock progresses and becomes decompensated in a child, profound perfusion abnormalities lead to inadequate oxygen and nutrient delivery to the brain. This can result in altered mental status such as confusion and somnolence. As the body struggles to maintain adequate perfusion to vital organs, the brain may be one of the first organs to demonstrate signs of inadequate perfusion. Thirst, irritability, and apprehension are more commonly seen in the early stages of shock. Confusion and somnolence indicate a more severe and critical state of shock where the child's body is struggling to maintain adequate blood flow to vital organs, including the brain.
Question 5 of 5
A client is admitted for postoperative assessment and recovery after surgery for a kidney tumor. The nurse needs to assess for signs of urinary tract infection. Which of the ff measures can be used to help detect UTI?
Correct Answer: B
Rationale: Monitoring temperature every 4 hours is crucial in detecting signs of a urinary tract infection in a postoperative client. An increase in temperature can indicate the presence of an infection, and early identification is essential for prompt treatment. While coughing and deep breathing (Option A) are beneficial for postoperative clients to prevent respiratory complications, they are not directly related to detecting UTI. Splinting the incision (Option C) is important for incisional care but does not specifically help in detecting UTI. Irrigating tubes (Option D) should only be done as ordered by the healthcare provider and is not a routine measure for detecting UTI.