ATI RN
ATI Pediatrics Unit 2 Exam Questions
Extract:
A nurse is analyzing a client's electrocardiogram (ECG) strip and identifies the following information: Heart rate: 92/min, Rhythm: Irregular, P wave: Unable to identify, PR interval: Unable to measure, QRS duration: 0.10 seconds.
Question 1 of 5
A nurse is analyzing a client's electrocardiogram (ECG) strip and identifies the following information: Based upon this information, the nurse should interpret the client's rhythm as indicating which of the following?
Correct Answer: B
Rationale: Atrial fibrillation is indicated by an irregular rhythm, absent P waves, and unmeasurable PR interval, as described. SVT has identifiable P waves, sinus bradycardia shows regular rhythm with P waves and a slower rate, and first-degree heart block has prolonged PR intervals with regular rhythm.
Extract:
A child is admitted to the pediatric unit with a diagnosis of Kawasaki disease.
Question 2 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: IVIG is the primary treatment in Kawasaki disease's initial phase to reduce inflammation and prevent complications. Antibiotics are not indicated, aneurysm monitoring is ongoing, and skin comfort is secondary.
Extract:
A nurse in an emergency department is caring for a child who is experiencing an acute asthma attack.
Question 3 of 5
A nurse in an emergency department is caring for a child who is experiencing an acute asthma attack. Which of the following medications should the nurse expect to administer first?
Correct Answer: C
Rationale: Albuterol, a short-acting beta-agonist, is the first-line treatment for acute asthma attacks due to its rapid bronchodilation. Montelukast, budesonide, and fluticasone are for long-term management, not acute relief.
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: Taking ferrous sulfate between meals maximizes absorption, as food can interfere with iron uptake. Constipation is not prevented by meal timing, esophagitis is not a significant risk with food, and nausea is not the primary reason for the instruction.
Extract:
The child was diagnosed early in infancy with pulmonary stenosis. Admitted today to cardiac catheterization procedure unit for balloon angioplasty. Child returns from the cardiac catheterization room. IV fluids are infusing in R peripheral IV. Is drowsy but arouses easily and moves all extremities spontaneously. Right groin pressure dressing is intact and has a small amount of blood on the dressing. Right leg is positioned straight in bed. Right leg is cool to touch but is equal in temperature to left leg. Color to right leg is the same as left leg. Capillary refill is brisk and equal to left lower extremity. Right pedal and popliteal pulse are weaker than left lower extremity. Apical heart rate is strong and regular. Respirations are easy and unlabored. Guardians are at bedside.
Question 5 of 5
A nurse is caring for a 6-month-old who had a cardiac catheterization. Which of the following should the nurse plan to include in the discharge teaching?
Correct Answer: B,C
Rationale: Instructing to administer pain relief (acetaminophen/ibuprofen) and to call if the right leg feels cool addresses post-catheterization comfort and potential complications like reduced circulation. Removing dressings, maintaining clear liquids, or tub baths are not appropriate instructions.