ATI RN
ATI Nurs 243 Pediatrics Exam Questions
Extract:
A 3-year-old child with congestive heart failure resulting from an underlying congenital heart defect, prescribed digoxin and furosemide.
Question 1 of 5
A 3-year-old child with congestive heart failure resulting from an underlying congenital heart defect, is prescribed digoxin and furosemide. Which of the following assessment findings are MOST concerning?
Correct Answer: C
Rationale: An apical pulse of 70 beats/minute and vomiting are concerning because they may indicate digoxin toxicity. A low heart rate (bradycardia) in a child on digoxin requires immediate attention.
Extract:
A preschool aged child immediately following an open repair of a Ventricular Septal Defect, with no drainage from the mediastinal chest tubes in the last 2 hours.
Question 2 of 5
The nurse is caring for a preschool aged child immediately following an open repair of a Ventricular Septal Defect. There has been no drainage from the mediastinal chest tubes in the last 2 hours. Based on this finding what will be the nurse's priority intervention?
Correct Answer: C
Rationale: Lack of drainage from the chest tubes following cardiac surgery can be life-threatening, indicating possible cardiac tamponade or tube occlusion. Immediate reporting is necessary for prompt intervention.
Extract:
A 12-month-old infant receiving chemotherapy for neuroblastoma.
Question 3 of 5
A nurse working in an immunization clinic is caring for a 12-month-old infant who is receiving chemotherapy for neuroblastoma. Which of the following immunizations CANNOT be given to this infant at this time?
Correct Answer: C
Rationale: Varicella (chickenpox) vaccine is a live attenuated vaccine and should not be given to immunocompromised children, such as those receiving chemotherapy, because it poses a risk of causing an infection.
Extract:
A child hospitalized with acute glomerulonephritis.
Question 4 of 5
The parents of a child, hospitalized with acute glomerulonephritis, ask the nurse why blood pressure readings are being taken so often. Which of the following statements will guide the nurse's response to the parents?
Correct Answer: A
Rationale: Acute hypertension is a common complication of acute glomerulonephritis and requires frequent monitoring to prevent severe consequences.
Extract:
A child starting antibiotic therapy for bacterial conjunctivitis.
Question 5 of 5
A child is starting antibiotic therapy for bacterial conjunctivitis. The parents ask when the child may return to daycare. The nurse's BEST response would be which of the following?
Correct Answer: B
Rationale: It is generally accepted that children with bacterial conjunctivitis can return to daycare after 24 to 48 hours of antibiotic treatment, as the risk of contagion is significantly reduced.