ATI RN
ATI Custom Pediatrics Comprehensive Exam Questions
Extract:
Child post-heart surgery for Tetralogy of Fallot
Question 1 of 5
When assessing a child after heart surgery to correct Tetralogy of Fallot (TOF), which finding should alert the nurse to suspect a low cardiac output?
Correct Answer: A
Rationale: Altered consciousness and thready pulse indicate poor perfusion, suggestive of low cardiac output post-TOF repair.
Extract:
4-year-old with terminal condition transitioning to end-of-life care
Question 2 of 5
The nurse is speaking with the parents of a 4-year-old child following a family discussion with the health care provider about the child's terminal condition and the possibility to transition to end-of-life care. The parents state, 'We don't think we can make this decision right now. What would you do?' Choose the nurse's BEST response.
Correct Answer: D
Rationale: Exploring the parents' beliefs fosters open communication, supporting informed decision-making tailored to their values during a difficult time.
Extract:
Neonate with anterior fontanel
Question 3 of 5
The nervous parent asks when the big 'soft spot' (anterior fontanel) will be closed. The nurse's most informative response would be
Correct Answer: C
Rationale: The anterior fontanel typically closes between 12 and 18 months, providing parents with an accurate timeline while acknowledging normal developmental variability.
Extract:
Child with nephrotic syndrome
Question 4 of 5
The nurse anticipates that there will be two classic hematologic characteristics in the blood chemistry of a child with nephrotic syndrome which are: (Select all that apply.)
Correct Answer: A,C,D
Rationale: Anemia, hyperlipidemia, and hypoproteinemia are classic findings in nephrotic syndrome due to protein loss, compensatory lipoprotein synthesis, and reduced erythropoiesis.
Extract:
Child post-heart surgery for Tetralogy of Fallot
Question 5 of 5
When assessing a child after heart surgery to correct Tetralogy of Fallot (TOF), which finding should alert the nurse to suspect a low cardiac output?
Correct Answer: A
Rationale: Altered consciousness and thready pulse indicate poor perfusion, suggestive of low cardiac output post-TOF repair.