ATI RN
ATI Pediatrics Exam 4 Questions
Extract:
An 8-year-old following a post-cardiac catheterization procedure
Question 1 of 5
A pediatric nurse is seeing an 8-year-old following a post-cardiac catheterization procedure. Which of the following interventions ordered by the physician should be questioned by the nurse? (Select All that Apply)
Correct Answer: C
Rationale: The correct answer is C: Encourage play and activity. After a cardiac catheterization procedure, it is important to limit physical activity to prevent complications such as bleeding or dislodging of the catheter. Encouraging play and activity can increase the risk of these complications. The other options are appropriate interventions:
A) Monitoring for bleeding is crucial after the procedure.
B) Checking pulses and temperature helps assess circulation and detect any issues promptly.
D) Early ambulation is beneficial to prevent blood clots. E) Monitoring cardiac function and oxygen saturation is essential to ensure the child's stability post-procedure.
Extract:
A 4-month-old with a history of ventricular septal defect admitted for failure to thrive
Question 2 of 5
The nurse is caring for a 4-month-old with a history of ventricular septal defect. The infant is admitted for failure to thrive. What supportive measure would the nurse anticipate in an infant with congestive heart failure?
Correct Answer: A
Rationale: The correct answer is A: Increased caloric density of Formula. Infants with congestive heart failure often have increased caloric needs due to their increased metabolic rate. By increasing the caloric density of the formula, the infant can receive more nutrients in a smaller volume, which helps with weight gain and growth. Oxygen therapy (
B) is important but not the primary supportive measure for congestive heart failure. Sedatives (
C) are not indicated as they can depress respiratory function. Emergent surgical correction (
D) may be necessary in some cases but is not a supportive measure for congestive heart failure.
Extract:
A 5-year-old girl Hannah is recently diagnosed with Kawasaki disease.
Question 3 of 5
Apart from the identified symptoms of the disease, she may also likely develop which of the following?
Correct Answer: B
Rationale: The correct answer is B: Aneurysm formation. In the context of the question, the patient already has a diagnosed disease which can lead to complications. Aneurysm formation is a common complication associated with certain diseases, especially those affecting blood vessels. Sepsis (choice
A) is a systemic response to infection, not a common complication in this scenario. Meningitis (choice
C) is an infection of the meninges, not a typical complication of the identified disease. Mitral valve disease (choice
D) is a heart condition, not directly related to the identified disease.
Therefore, aneurysm formation is the most likely additional complication based on the information provided.
Extract:
The Foley Family is caring for their youngest child, Justin, who is suffering from tetralogy of Fallot.
Question 4 of 5
Which of the following are defects associated with this congenital heart condition?
Correct Answer: B
Rationale: The correct answer is B because it describes defects associated with Tetralogy of Fallot. Ventricular septal defect causes mixing of oxygenated and deoxygenated blood, overriding aorta results in blood flow from both ventricles, pulmonic stenosis leads to decreased blood flow to the lungs, and right ventricular hypertrophy is a result of increased workload from the stenosis.
Choice A includes defects associated with other congenital heart conditions such as coarctation of the aorta and aortic/mitral valve stenosis.
Choice C describes transposition of the great arteries, not Tetralogy of Fallot.
Choice D includes defects associated with tricuspid atresia, not Tetralogy of Fallot.
Extract:
A child with a disorder leading to cyanosis from deoxygenated blood entering the systemic arterial circulation
Question 5 of 5
Which of the following disorders leads to cyanosis from deoxygenated blood entering the systemic arterial circulation?
Correct Answer: D
Rationale: The correct answer is D: Tetralogy of Fallot. In TOF, there is a ventricular septal defect allowing mixing of oxygenated and deoxygenated blood leading to cyanosis. The other choices do not directly cause deoxygenated blood to enter the systemic circulation. A: Coarctation of aorta causes hypertension in upper extremities; B: Aortic stenosis leads to left ventricular hypertrophy; C: PDA causes a left-to-right shunt.