ATI RN
ATI Pediatrics Unit 2 Exam Questions
Extract:
A nurse is preparing to administer digoxin to a pediatric client who has heart failure.
Question 1 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 care to an adolescent client who is hospitalized in an adult setting.
Question 2 of 5
A nurse is providing care to an adolescent client who is hospitalized in an adult setting. Which of the following interventions by the nurse supports a client experiencing emotional and physical changes of puberty? (Select all that apply.)
Correct Answer: A,E,F
Rationale: Providing privacy respects the adolescent's need for dignity during puberty. Showing respect and listening to their concerns fosters emotional support and validates their experiences. Avoiding puberty discussions, treating them as incompetent, or disregarding confidentiality undermines trust and autonomy.
Extract:
A nurse is preparing to administer digoxin to a pediatric client who has heart failure.
Question 3 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 assessing a newborn for manifestations of a large patent ductus arteriosus.
Question 4 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: A systolic murmur is a hallmark of a large patent ductus arteriosus due to left-to-right shunting. Weak pulses, cyanosis, and chronic hypoxemia are less typical or associated with other defects.
Extract:
A child is admitted to the pediatric unit with a diagnosis of Kawasaki disease.
Question 5 of 5
A child is admitted to the pediatric unit with a diagnosis of Kawasaki disease. Which nursing intervention is most appropriate during this initial phase?
Correct Answer: D
Rationale: IVIG is the primary treatment in Kawasaki disease's initial phase to reduce inflammation and prevent complications. Antibiotics are not indicated, aneurysm monitoring is ongoing, and skin comfort is secondary.