ATI RN
ATI Pediatrics Unit 2 Exam Questions
Extract:
A nurse and a newly licensed nurse are providing care for a client who has distributive shock related to an anaphylactic reaction.
Question 1 of 5
A nurse and a newly licensed nurse are providing care for a client who has distributive shock related to an anaphylactic reaction. How should the nurse explain the pathophysiology of distributive shock to the newly licensed nurse?
Correct Answer: A
Rationale: The correct answer is A: Distributive shock occurs due to systemic vasodilation. In distributive shock, there is widespread vasodilation leading to decreased systemic vascular resistance, which results in poor perfusion to vital organs. This vasodilation can be caused by various factors such as anaphylaxis, sepsis, or neurogenic shock. The loss of vascular tone leads to pooling of blood in the peripheral vasculature, reducing venous return to the heart. This results in decreased cardiac output and inadequate tissue perfusion.
Choices B, C, and D are incorrect. Increased systemic vascular resistance (
B) is seen in conditions like cardiogenic shock, not distributive shock. Loss of blood volume (
C) typically leads to hypovolemic shock. Loss of myocardial contractility (
D) is characteristic of cardiogenic shock, where there is impaired heart function leading to decreased cardiac output.
Extract:
A nurse is caring for a client who just returned from a cardiac catheterization.
Question 2 of 5
A nurse is caring for a client who just returned from a cardiac catheterization. Which of the following nursing interventions should the nurse include in the client's plan of care? (Select all that apply.)
Correct Answer: A,B,D,E
Rationale:
Correct
Answer: A, B, D, E
Rationale:
A: Having the client remain in bed up to 6 hours post-cardiac catheterization helps prevent bleeding at the insertion site.
B: Checking peripheral pulses in the affected extremity is crucial to assess for circulation and detect any signs of complications like ischemia.
D: Keeping the client's hip and leg extended helps prevent accidental movement that could disrupt the catheter insertion site.
E: Measuring vital signs every 4 hours is essential to monitor the client's condition and detect any signs of complications promptly.
Summary:
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Choice C is incorrect as placing the client in high-Fowler's position is not directly related to post-cardiac catheterization care.
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Choice F and G are not provided in the question, so they are not applicable.
Extract:
A nurse is providing care to an adolescent client who is hospitalized in an adult setting.
Question 3 of 5
A nurse is providing care to an adolescent client who is hospitalized in an adult setting. Which of the following interventions by the nurse supports a client experiencing emotional and physical changes of puberty? (Select all that apply.)
Correct Answer: A,E,F
Rationale: The correct answers are A, E, and F. Providing privacy during personal care and procedures (
A) supports the client's need for autonomy and dignity during a vulnerable time. Showing respect for the client's feelings and concerns (E) validates their emotions and fosters trust. Listening carefully to the client's thoughts and concerns regarding their hospitalization (F) demonstrates empathy and helps address any fears or uncertainties.
Choices B, C, and D are incorrect. Avoiding discussing the changes related to puberty (
B) can lead to confusion and isolation. Treating the adolescent as if they are not competent to make decisions (
C) undermines their autonomy and self-esteem. Disregarding confidentiality to keep the parents informed of all aspects of care (
D) breaches the client's trust and right to privacy.
Extract:
A nurse is caring for a client who has a new prescription for ferrous sulfate tablets twice daily for iron-deficiency anemia.
Question 4 of 5
A nurse is caring for a client who has a new prescription for ferrous sulfate tablets twice daily for iron-deficiency anemia. The client asks the nurse why the provider instructed that she take the ferrous sulfate between meals. Which of the following responses should the nurse make?
Correct Answer: C
Rationale:
Correct
Answer: C
Rationale: Taking ferrous sulfate between meals enhances absorption. Iron absorption is inhibited by certain foods like dairy products or whole grains, so taking it on an empty stomach ensures better absorption. This is crucial for treating iron-deficiency anemia effectively.
Choices A, B, and D are incorrect because constipation, esophagitis risk, and nausea are not directly related to meal timing but rather influenced by the medication itself.
Extract:
A nurse is providing discharge instructions to the parent of a 10-year-old child following a cardiac catheterization.
Question 5 of 5
A nurse is providing discharge instructions to the parent of a 10-year-old child following a cardiac catheterization. Which of the following instructions should the nurse include?
Correct Answer: C,D
Rationale: The correct answers are C and D. Clear liquids are recommended post-cardiac catheterization to prevent gastrointestinal upset. Acetaminophen can be given for discomfort.
Choice A is incorrect as showers are preferred over tub baths to prevent infection.
Choice B is incorrect as children can typically resume normal activities within a day or two.