ATI RN
ATI Pediatrics Unit 2 Exam Questions
Extract:
A nurse is assessing a toddler who has heart failure.
Question 1 of 5
A nurse is assessing a toddler who has heart failure. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Orthopnea, difficulty breathing when lying flat, is expected in heart failure due to fluid overload. Tachycardia, weight gain from fluid retention, and decreased urine output are more common than the other options.
Extract:
A nurse is admitting a child who has suspected epiglottitis.
Question 2 of 5
A nurse is admitting a child who has suspected epiglottitis. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Droplet precautions are the first action to prevent infection spread in suspected epiglottitis. IV fluids, antibiotics, and x-rays are important but follow ensuring safety precautions.
Extract:
A nurse is caring for a child who was admitted with suspected rheumatic fever. The provider prescribes an anti-streptolysin O (ASO) titer.
Question 3 of 5
A nurse is caring for a child who was admitted with suspected rheumatic fever. The provider prescribes an anti-streptolysin O (ASO) titer. The parent asks the nurse the purpose of the test. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: An elevated ASO titer confirms a recent streptococcal infection, which is a key factor in diagnosing rheumatic fever, as it indicates the body's immune response to streptolysin O produced by group A Streptococcus. It does not measure aminoglycoside levels, directly diagnose rheumatic fever, or confirm immunity.
Extract:
A nurse is preparing to administer digoxin to a pediatric client who has heart failure.
Question 4 of 5
A nurse is preparing to administer digoxin to a pediatric client who has heart failure. Which of the following actions is appropriate?
Correct Answer: C
Rationale: Measuring the apical pulse for a full minute (though 30 seconds is mentioned, standard is 60 seconds) is critical to check for bradycardia before administering digoxin. Low potassium increases toxicity risk, repeating a spit-out dose is unsafe, and symptom evaluation is important but not the priority action.
Extract:
The nurse is caring for a child with cystic fibrosis.
Question 5 of 5
The nurse is caring for a child with cystic fibrosis. What is the rationale for the nurse performing chest physiotherapy for this child?
Correct Answer: C
Rationale: Chest physiotherapy clears mucus from airways, improving lung function in cystic fibrosis. It does not monitor function, relieve pain, or administer medications.