ATI RN
ATI Nur223g Pediatrics Sect 2 Final Exam Questions
Extract:
A boy with Tetralogy of Fallot.
Question 1 of 5
The nurse would teach the mother of a boy with Tetralogy of Fallot that if the child suddenly becomes cyanotic and dyspneic, the mother should:
Correct Answer: A
Rationale: The knee-chest position increases systemic vascular resistance, which helps to divert more blood to the pulmonary circulation, improving oxygenation in a child experiencing a 'tet spell' or hypercyanotic episode.
Extract:
A 2-month-old infant who is postoperative following surgical repair of a cleft lip.
Question 2 of 5
A nurse is caring for a 2-month-old infant who is postoperative following surgical repair of a cleft lip. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Encouraging the parents to rock the infant provides comfort and soothes the baby without risking harm to the surgical site. Parental involvement also helps with bonding and emotional support during recovery.
Extract:
A school-aged child with sickle-cell anemia.
Question 3 of 5
The nurse is assessing a school-aged child with sickle-cell anemia. Which assessment finding is consistent with this child's diagnosis?
Correct Answer: C
Rationale: Slightly yellow sclera (jaundice) is consistent with sickle-cell anemia due to the breakdown of red blood cells, which can lead to an increased level of bilirubin.
Extract:
A 1-year-old child.
Question 4 of 5
A nurse is preparing to administer vaccines to a 1-year-old child. Which of the following vaccines should the nurse give? (Select all that apply.)
Correct Answer: A,C,E
Rationale: DTaP is recommended at 15-18 months, varicella at 12-15 months, and MMR at 12-15 months, making them appropriate for a 1-year-old.
Extract:
A child who is having a tonic-clonic seizure and vomiting.
Question 5 of 5
A nurse is caring for a child who is having a tonic-clonic seizure and vomiting. Which of the following actions is the nurse's priority?
Correct Answer: C
Rationale: Positioning the child side-lying is the priority because it helps maintain an open airway and reduces the risk of aspiration of vomit during the seizure. Protecting the airway is the most critical intervention in this scenario.