ATI RN
ATI Pediatrics Exam NURS 243 Spring 2014 Questions
Extract:
A 7-year-old recently diagnosed with cystic fibrosis.
Question 1 of 5
The parents of a 7-year-old recently diagnosed with cystic fibrosis have received discharge instructions for chest physiotherapy (CPT), use of a flutter valve, and a cough assist machine. Which of the following statements by the parents indicates understanding of the discharge instructions?
Correct Answer: C
Rationale: These therapies loosen lung secretions for better expectoration, improving respiratory function in cystic fibrosis, not affecting GI mucus or only used during illness.
Extract:
An infant with a history of bronchopneumonia.
Question 2 of 5
The nurse is caring for an infant who has a history of bronchopneumonia. What should the nurse anticipate when monitoring laboratory results? Which of the following venous blood gas results should the nurse expect?
Correct Answer: B
Rationale: Bronchopneumonia causes hypoxemia (low pO2), hypercapnia (high pCO2), and compensatory HCO3 increase, indicating respiratory acidosis.
Extract:
A child admitted to the hospital.
Question 3 of 5
A child is admitted to the hospital. Which of the following findings is of greatest concern?
Correct Answer: D
Rationale: The tripod position, diminished breath sounds, and grunting indicate severe respiratory distress, suggesting potential respiratory failure requiring immediate attention.
Extract:
A school-aged child with cystic fibrosis prescribed vest therapy.
Question 4 of 5
A nurse is reviewing the care plan with a school-aged child who has cystic fibrosis and a prescription to receive vest therapy to mobilize respiratory secretions. Which of the following statements by the child indicates an understanding of the plan?
Correct Answer: D
Rationale: Administering albuterol, a bronchodilator, prior to vest therapy opens airways, enhancing the effectiveness of secretion mobilization in cystic fibrosis.
Extract:
A newborn suspected to have esophageal atresia.
Question 5 of 5
The nurse is caring for a newborn suspected to have esophageal atresia. Which of the following interventions must be the FIRST priority?
Correct Answer: D
Rationale: Elevating the head 30-35 degrees prevents aspiration of gastric contents due to potential tracheoesophageal fistula, a critical concern in esophageal atresia.