ATI RN
ATI Pediatrics Unit 2 Exam Questions
Extract:
Admitted with reports of shortness of breath and productive cough. States has been feeling tired and weak for 2 days. Parents state adolescent has not eaten in 2 days and has had low-grade fever since yesterday. Reports headache and chest discomfort as a 4 on a scale of 0 to 10. Adolescent reports not having an appetite. Breath sounds with crackles in bilaterally upper lobes. Productive cough with white sputum and dyspnea observed. Blood pressure 92/50 mm/Hg, Apical pulse rate 108/min, Respiratory rate 28/min, Temperature 39.1° C (102.4°F), Oxygen saturation 94% on room air. Chest x-ray: Small infiltrates with minimal lobar consolidation; pneumonia. WBC count 12,500/mm3, Hgb 11 g/dL, Hct 32%, BUN 22 mg/dL, Sodium 148 mEq/L, Potassium 4.1 mEq/L.
Question 1 of 5
A nurse is caring for a 15-year-old adolescent. The nurse reviews the EMR and determines that the adolescent is at risk for developing which of the following complications?
Correct Answer: B,C
Rationale: Fever, reduced intake, and elevated sodium indicate dehydration risk. Pneumonia increases pneumothorax risk due to potential lung tissue damage. Muscle cramps and anemia are less directly related to the current presentation.
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 planning a community health program for school-age children.
Question 3 of 5
A nurse is planning a community health program for school-age children. According to Erikson's theory of psychosocial development, which activity would best support the developmental task of this age group?
Correct Answer: C
Rationale: Team sports promote social interaction and competence, aligning with Erikson's industry vs. inferiority stage. Solitary play and dependence on parents are inappropriate for this age, and focusing only on academics neglects social development.
Extract:
A nurse is preparing to administer a vaccine to a 4-year-old child.
Question 4 of 5
A nurse is preparing to administer a vaccine to a 4-year-old child. Which of the following vaccines should the nurse administer?
Correct Answer: C
Rationale: The varicella vaccine is recommended for a 4-year-old as part of the 4-6-year booster schedule. MCV4 is for older children, HepB is typically completed earlier, and Hib is usually finished by age 2-3.
Extract:
A nurse is caring for a client who has a new prescription for ferrous sulfate tablets twice daily for iron-deficiency anemia.
Question 5 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.