ATI RN
ATI Pediatrics Unit 2 Exam Questions
Extract:
A nurse is providing care to children on a general pediatric unit.
Question 1 of 5
A nurse is providing care to children on a general pediatric unit. Which of the following children should the nurse identify as a potential victim of abuse?
Correct Answer: A
Rationale: Parents answering for a child may indicate control or suppression, a potential abuse red flag. Frequent visitors, call light use, or obesity are not direct indicators of abuse.
Extract:
A nurse is providing care to a school-aged child who has uncontrolled asthma. The child's parent does not seem engaged in the child's treatment during the hospitalization and states that the child manages their care with little assistance from them.
Question 2 of 5
A nurse is providing care to a school-aged child who has uncontrolled asthma. The child's parent does not seem engaged in the child's treatment during the hospitalization and states that the child manages their care with little assistance from them. Which of the following nursing interventions is most appropriate?
Correct Answer: C
Rationale: Educating the parent comprehensively empowers them to engage in asthma management, addressing their lack of involvement constructively. Contacting child protective services is premature, a schedule alone doesn't engage the parent, and reviewing the plan with only the child and school nurse excludes the parent.
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 3 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 and a newly licensed nurse are providing care for a client who has distributive shock related to an anaphylactic reaction.
Question 4 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.
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.