ATI RN
ATI Nur 223a Sect 4 Pediatrics Final Exam Questions
Extract:
New parents of an infant.
Question 1 of 5
A nurse is providing anticipatory guidance to new parents of an infant. Which information would be most important to stress with the parents to promote the infant's development of trust?
Correct Answer: D
Rationale: Consistent responses build trust per Erikson's trust vs. mistrust stage.
Extract:
5-year-old child has a cardiac catheterization via the femoral artery.
Question 2 of 5
A 5-year-old child has a cardiac catheterization via the femoral artery. Which assessment would be most important to complete after the procedure?
Correct Answer: D
Rationale: Checking pedal pulses ensures adequate blood flow post-catheterization.
Extract:
Adolescent who has type 1 diabetes mellitus.
Question 3 of 5
A nurse is providing teaching to an adolescent who has type 1 diabetes mellitus. Which of the following should the nurse include in the teaching?
Correct Answer: A
Rationale: Annual influenza vaccine reduces infection risks in diabetes.
Extract:
Vital Signs (0700 hrs): Temperature: 39°C (102.2°F), Heart rate: 148/min, Respiratory rate: 42/min, Blood pressure: 87/44 mm Hg, SpO2: 89% on room air. Nurse's Notes (0700 hrs): The toddler presents with a high fever, cough, and difficulty breathing. The mother reports that the child has been irritable and not eating well for the past two days. The child is observed to have nasal flaring and intercostal retractions. Breath sounds are diminished with wheezing heard bilaterally. The child is restless and crying intermittently. The mother denies any known allergies or recent travel. The child has a history of frequent upper respiratory infections. Diagnostic Results (0700 hrs): Rapid RSV antibody test: Positive (per nasal swab), Blood culture: Pending, Hgb: 10 g/dL, Hct: 40%, WBC: 10,000/mm³, Platelets: 230,000/mm³, Glucose: 82 mg/dL, BUN: 18 mg/dL. Medication Administration Record (0700 hrs): Albuterol 2.5 mg via nebulizer now. May repeat every 20 min for 1 hr as needed for wheezing and retractions. Oxygen 2 L/min via nasal cannula.
Question 4 of 5
Which of the following findings should the nurse identify as an indication that the treatment plan is effective? (Select all that apply.)
Correct Answer: C,D,E
Rationale:
Choice A: Nasal flaring indicates ongoing distress.
Choice B: Retractions indicate ongoing distress.
Choice C: Improved oxygen saturation shows effective treatment.
Choice D: Clearer breath sounds indicate improved lung function.
Choice E: Decreased respiratory rate shows reduced distress.
Choice F: Heart rate is not a specific indicator of respiratory function.
Extract:
10-year-old child who will be hospitalized for an extended period of time.
Question 5 of 5
A nurse is planning care for a 10-year-old child who will be hospitalized for an extended period of time. Which of the following actions should the nurse include in the plan of care to meet the client's psychosocial needs according to Erikson?
Correct Answer: C
Rationale: School work promotes industry and competence per Erikson's theory.