ATI RN
ATI Pediatrics Unit 2 Exam Questions
Extract:
A nurse is providing discharge teaching for a client who has a new prescription for warfarin.
Question 1 of 5
A nurse is providing discharge teaching for a client who has a new prescription for warfarin. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: Using an electric razor minimizes bleeding risk, crucial for patients on warfarin. Doubling a missed dose increases bleeding risk, fiber intake is not specifically needed for warfarin-related constipation, and nosebleeds should be reported, not dismissed as common.
Extract:
A nurse and a newly licensed nurse are providing care for a client who has distributive shock related to an anaphylactic reaction.
Question 2 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:
A nurse is assessing a newborn who has a coarctation of the aorta.
Question 3 of 5
A nurse is assessing a newborn who has a coarctation of the aorta. Which of the following should the nurse recognize is a clinical manifestation of coarctation of the aorta?
Correct Answer: B
Rationale: Coarctation of the aorta causes a narrowing that obstructs blood flow to the lower body, leading to increased blood pressure in the arms and decreased blood pressure in the legs. The other options do not reflect the typical blood pressure distribution seen in this condition.
Extract:
A nurse is caring for a child who was admitted with suspected rheumatic fever. The provider prescribes an anti-streptolysin O (ASO) titer.
Question 4 of 5
A nurse is caring for a child who was admitted with suspected rheumatic fever. The provider prescribes an anti-streptolysin O (ASO) titer. The parent asks the nurse the purpose of the test. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: An elevated ASO titer confirms a recent streptococcal infection, which is a key factor in diagnosing rheumatic fever, as it indicates the body's immune response to streptolysin O produced by group A Streptococcus. It does not measure aminoglycoside levels, directly diagnose rheumatic fever, or confirm immunity.
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.