ATI RN
ATI Pediatrics Unit 2 Exam Questions
Extract:
A nurse is assessing a newborn for manifestations of a large patent ductus arteriosus.
Question 1 of 5
A nurse is assessing a newborn for manifestations of a large patent ductus arteriosus. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Systolic murmur. In a large patent ductus arteriosus (PD
A), blood flows abnormally from the aorta to the pulmonary artery, causing a continuous heart murmur heard during systole. Weak pulses (
A) are not typically associated with PDA. Cyanosis with crying (
B) is more indicative of other cardiac defects like Tetralogy of Fallot. Chronic hypoxemia (
C) is a long-term consequence of PDA, not a primary manifestation.
Therefore, the presence of a systolic murmur is the key finding in a newborn with a large PDA.
Extract:
A nurse is providing education to a school-age child who has a new diagnosis of asthma.
Question 2 of 5
A nurse is providing education to a school-age child who has a new diagnosis of asthma. Which of the following statements should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Avoid triggers that cause an attack. This is important in managing asthma as it helps prevent exacerbations. Triggers such as dust, pollen, and pet dander can worsen symptoms. By identifying and avoiding triggers, the child can reduce the likelihood of experiencing an asthma attack.
Option B is incorrect because cromolyn sodium is a preventive medication, not a rescue medication for acute breathing difficulty. Option C is incorrect as using a peak flow meter once per week may not provide sufficient monitoring for asthma control. Option D is incorrect because exercise is beneficial for asthma management, and the child should be encouraged to participate in activities suitable for their condition.
Extract:
A nurse is providing care to children on a general pediatric unit.
Question 3 of 5
A nurse is providing care to children on a general pediatric unit. Which of the following children should the nurse identify as a potential victim of abuse?
Correct Answer: A
Rationale: The correct answer is A because when parents answer questions for the child, it may indicate controlling behavior, lack of autonomy, and potential for neglect or abuse.
Choice B (frequent visitors) is incorrect as it does not necessarily indicate abuse.
Choice C (frequent use of call light) may suggest medical needs but not abuse.
Choice D (obese child) may indicate a health issue but not necessarily abuse.
Extract:
A nurse is caring for an infant who has a congenital heart defect.
Question 4 of 5
A nurse is caring for an infant who has a congenital heart defect. Which of the following defects is associated with increased pulmonary blood flow?
Correct Answer: B
Rationale: The correct answer is B: Patent ductus arteriosus. In this congenital heart defect, the ductus arteriosus, a blood vessel between the pulmonary artery and the aorta, fails to close after birth, leading to increased blood flow from the aorta to the pulmonary artery. This results in increased pulmonary blood flow. Tricuspid atresia (
A) is characterized by a missing tricuspid valve, leading to decreased pulmonary blood flow. Coarctation of the aorta (
C) results in narrowing of the aorta, affecting systemic circulation, not pulmonary circulation. Tetralogy of Fallot (
D) involves mixing of oxygenated and deoxygenated blood, leading to decreased pulmonary blood flow.
Extract:
A nurse is caring for a school-aged child who is hospitalized.
Question 5 of 5
A nurse is caring for a school-aged child who is hospitalized. Which of the following actions should the nurse take to promote the client's engagement and general well-being?
Correct Answer: B
Rationale: The correct answer is B: Allow the child to decorate their hospital room with personal items. This promotes the client's engagement and general well-being by providing a sense of ownership and control in their environment, which can reduce stress and anxiety. Allowing the child to personalize their space can create a sense of comfort and familiarity, making the hospital setting less intimidating.
Incorrect choices:
A: Enforcing strict bed rest without allowing any physical activity can lead to boredom, frustration, and decreased well-being.
C: Limiting visits can increase feelings of isolation and emotional distress for the child, which can negatively impact their well-being.
D: Using medical terms to explain procedures may confuse the child and create additional stress, rather than promoting engagement and well-being.