ATI RN
ATI Pediatrics Unit 2 Exam Questions
Extract:
A nurse is providing discharge instructions to the parent of a 10-year-old child following a cardiac catheterization.
Question 1 of 5
A nurse is providing discharge instructions to the parent of a 10-year-old child following a cardiac catheterization. Which of the following instructions should the nurse include?
Correct Answer: C,D
Rationale: Clear liquids for the first 24 hours aid hydration post-anesthesia, and acetaminophen helps manage discomfort. Tub baths should be avoided to keep the catheter site dry, and a week-long absence from school is typically unnecessary unless complications arise.
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? (Select All that Apply.)
Correct Answer: C,D,E
Rationale: Pertussis involves bacterial toxins damaging respiratory cilia, causing inflammation and thick secretions that are difficult to clear. It is a bacterial infection affecting the respiratory tract, not just the nostrils, and is not viral.
Extract:
A nurse is planning care for a child who has suspected epiglottitis.
Question 3 of 5
A nurse is planning care for a child who has suspected epiglottitis. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Placing the child upright eases breathing and reduces distress in epiglottitis. Visualizing the epiglottis or obtaining a throat culture risks airway obstruction, and an x-ray, while diagnostic, is not the priority action.
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 4 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.
Extract:
A nurse is preparing to administer a vaccine to a 4-year-old child.
Question 5 of 5
A nurse is preparing to administer a vaccine to a 4-year-old child. Which of the following vaccines should the nurse administer?
Correct Answer: C
Rationale: The varicella vaccine is recommended for a 4-year-old as part of the 4-6-year booster schedule. MCV4 is for older children, HepB is typically completed earlier, and Hib is usually finished by age 2-3.