ATI RN
ATI Pediatrics Unit 2 Exam Questions
Extract:
A nurse is caring for a pre-school age child who has epiglottitis and presents with a high fever, drooling, and a muffled voice.
Question 1 of 5
A nurse is caring for a pre-school age child who has epiglottitis and presents with a high fever, drooling, and a muffled voice. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Monitoring oxygen saturation assesses respiratory status in epiglottitis, a priority due to airway compromise risk.
Tongue depressors and throat cultures risk obstruction, and droplet, not airborne, precautions are appropriate.
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 providing teaching for a parent of a preschool-aged child who had a myringotomy with a tympanoplasty tube insertion 4 days ago.
Question 3 of 5
A nurse is providing teaching for a parent of a preschool-aged child who had a myringotomy with a tympanoplasty tube insertion 4 days ago. Which of the following actions should the nurse identify as an indication that the teaching was effective?
Correct Answer: A,C,D,E
Rationale: Applying medication, minimizing nose blowing, using ear plugs, and reporting purulent drainage indicate effective teaching. Lifting a sibling risks tube displacement and is inappropriate.
Extract:
A nurse is providing discharge teaching for a client who has a new prescription for warfarin.
Question 4 of 5
A nurse is providing discharge teaching for a client who has a new prescription for warfarin. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: Using an electric razor minimizes bleeding risk, crucial for patients on warfarin. Doubling a missed dose increases bleeding risk, fiber intake is not specifically needed for warfarin-related constipation, and nosebleeds should be reported, not dismissed as common.
Extract:
A nurse and a newly licensed nurse are providing care for a client who has distributive shock related to an anaphylactic reaction.
Question 5 of 5
A nurse and a newly licensed nurse are providing care for a client who has distributive shock related to an anaphylactic reaction. How should the nurse explain the pathophysiology of distributive shock to the newly licensed nurse?
Correct Answer: A
Rationale: Distributive shock, as seen in anaphylaxis, is caused by systemic vasodilation, leading to decreased vascular resistance and impaired organ perfusion. Increased vascular resistance is seen in other types of shock, blood volume loss defines hypovolemic shock, and loss of myocardial contractility is characteristic of cardiogenic shock.