ATI RN
ATI Pediatrics Unit 2 Exam Questions
Extract:
A nurse is providing care to an adolescent client who is hospitalized in an adult setting.
Question 1 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 caring for a child who is suspected of having pertussis.
Question 2 of 5
A nurse is caring for a child who is suspected of having pertussis. The nurse should recognize that the pathophysiology of pertussis includes which of the following?
Correct Answer: C,D,E
Rationale: Pertussis, caused by Bordetella pertussis, involves bacterial toxins damaging cilia, leading to inflammation and thick secretions that are hard to expel. It affects the respiratory tract, not just nostrils, and is bacterial, not viral.
Extract:
A nurse is caring for a school-aged child who is hospitalized.
Question 3 of 5
A nurse is caring for a school-aged child who is hospitalized. Which of the following actions should the nurse take to promote the client's engagement and general well-being?
Correct Answer: B
Rationale: Decorating the room with personal items promotes comfort and engagement. Strict bed rest, limited visits, or medical jargon can hinder emotional well-being and understanding.
Extract:
A nurse is teaching the parents of a child who is to start using a metered-dose inhaler (MDI) to treat asthma.
Question 4 of 5
A nurse is teaching the parents of a child who is to start using a metered-dose inhaler (MDI) to treat asthma. Which of the following information should the nurse include in the teaching?
Correct Answer: B
Rationale: A spacer increases medication delivery to the lungs by reducing deposition in the oropharynx. Rapid inhalation is incorrect; slow, deep breaths are needed. Covering exhalation slots disrupts airflow and is not recommended.
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 5 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.