ATI RN
ATI Pediatrics Unit 2 Exam Questions
Extract:
An infant is brought to the emergency department with suspected coarctation of the aorta.
Question 1 of 5
An infant is brought to the emergency department with suspected coarctation of the aorta. Which clinical symptoms would the nurse expect to find?
Correct Answer: B,C,E
Rationale: Coarctation of the aorta causes weak femoral pulses, bounding upper extremity pulses due to increased upper body blood flow, and poor feeding/irritability from distress. Cyanosis is uncommon, and lower extremity blood pressure is typically reduced.
Extract:
A nurse is providing teaching to students about physical and psychosocial effects of stress to school-aged children.
Question 2 of 5
A nurse is providing teaching to students about physical and psychosocial effects of stress to school-aged children. Which of the following levels of prevention does this demonstrate?
Correct Answer: C
Rationale: Educating about stress effects is primary prevention, aiming to promote health and prevent issues. Secondary prevention involves early detection, tertiary focuses on rehabilitation, and suicide prevention is a specific intervention.
Extract:
A nurse is providing discharge instructions to the parent of a 10-year-old child following a cardiac catheterization.
Question 3 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:
The child was diagnosed early in infancy with pulmonary stenosis. Admitted today to cardiac catheterization procedure unit for balloon angioplasty. Child returns from the cardiac catheterization room. IV fluids are infusing in R peripheral IV. Is drowsy but arouses easily and moves all extremities spontaneously. Right groin pressure dressing is intact and has a small amount of blood on the dressing. Right leg is positioned straight in bed. Right leg is cool to touch but is equal in temperature to left leg. Color to right leg is the same as left leg. Capillary refill is brisk and equal to left lower extremity. Right pedal and popliteal pulse are weaker than left lower extremity. Apical heart rate is strong and regular. Respirations are easy and unlabored. Guardians are at bedside.
Question 4 of 5
A nurse is caring for a 6-month-old who had a cardiac catheterization. Which of the following should the nurse plan to include in the discharge teaching?
Correct Answer: B,C
Rationale: Instructing to administer pain relief (acetaminophen/ibuprofen) and to call if the right leg feels cool addresses post-catheterization comfort and potential complications like reduced circulation. Removing dressings, maintaining clear liquids, or tub baths are not appropriate instructions.
Extract:
The nurse is caring for a child with cystic fibrosis.
Question 5 of 5
The nurse is caring for a child with cystic fibrosis. What is the rationale for the nurse performing chest physiotherapy for this child?
Correct Answer: C
Rationale: Chest physiotherapy clears mucus from airways, improving lung function in cystic fibrosis. It does not monitor function, relieve pain, or administer medications.