ATI RN
ATI Pediatrics Unit 2 Exam Questions
Extract:
What is the priority nursing intervention for a newborn infant diagnosed with transposition of the great vessels?
Question 1 of 5
Preparing the infant for immediate surgery
Correct Answer: D
Rationale: Prostaglandin E1 maintains ductus arteriosus patency, allowing blood mixing in transposition of the great vessels, stabilizing the infant until surgery. Surgery preparation, feeding, and oxygen are secondary to this critical intervention.
Extract:
None provided
Question 2 of 5
Which of the following cognitive abilities are characteristic of a school-aged child in Piaget's concrete operational stage? (select all that apply)
Correct Answer: C,D
Rationale: In Piaget's concrete operational stage (7-11 years), children develop logical thinking about concrete objects and understand conservation (quantity remains the same despite appearance changes). Object permanence and symbolic play are sensorimotor and preoperational stage traits, respectively, and egocentric thinking diminishes in this stage.
Extract:
A nurse is admitting a child who has suspected epiglottitis.
Question 3 of 5
A nurse is admitting a child who has suspected epiglottitis. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Droplet precautions are the first action to prevent infection spread in suspected epiglottitis. IV fluids, antibiotics, and x-rays are important but follow ensuring safety precautions.
Extract:
A nurse is caring for a child who is 2 hr postoperative following a tonsillectomy.
Question 4 of 5
A nurse is caring for a child who is 2 hr postoperative following a tonsillectomy. Which of the following fluid items should the nurse offer the child at this time?
Correct Answer: A
Rationale: Crushed ice soothes the throat and is easy to swallow post-tonsillectomy. Acidic juices (cranberry, orange) may irritate, and milkshakes are too thick, risking discomfort or choking.
Extract:
A nurse is caring for a child who has a suspected diagnosis of cystic fibrosis.
Question 5 of 5
A nurse is caring for a child who has a suspected diagnosis of cystic fibrosis. Which of the following diagnostic tests will confirm the diagnosis?
Correct Answer: B
Rationale: The sweat chloride test is the gold standard for diagnosing cystic fibrosis as it measures elevated chloride levels in sweat, which is a hallmark of the condition. A stool fat content analysis can indicate malabsorption but is not specific to cystic fibrosis. Pulmonary function tests assess lung function but are not diagnostic for cystic fibrosis. A sputum culture identifies infections but does not confirm the diagnosis.