ATI RN
ATI Pediatrics Unit 2 Exam Questions
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 1 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.
Extract:
A nurse is preparing to administer digoxin to a pediatric client who has heart failure.
Question 2 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:
A nurse is providing education to a school-age child who has a new diagnosis of asthma.
Question 3 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: Avoiding triggers prevents asthma attacks, a key management strategy. Cromolyn is for prevention, not acute relief, peak flow should be daily, and sports can continue with proper management.
Extract:
A nurse is providing discharge instructions to the parent of a 10-year-old child following a cardiac catheterization.
Question 4 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: Clear liquids for the first 24 hours aid hydration post-anesthesia, and acetaminophen helps manage discomfort. Tub baths should be avoided to keep the catheter site dry, and a week-long absence from school is typically unnecessary unless complications arise.
Extract:
A nurse is teaching a client who has asthma about how to use an albuterol inhaler.
Question 5 of 5
A nurse is teaching a client who has asthma about how to use an albuterol inhaler. Which of the following actions by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: Holding breath for 10 seconds after inhaling allows medication to settle in the lungs, indicating proper technique. Quick inhalation, waiting 10 minutes, or exhaling during release are incorrect and reduce effectiveness.