ATI RN
ATI N400 Pediatrics Exam 2 Questions
Extract:
An infant with heart failure.
Question 1 of 5
Which nursing assessments are important when evaluating an infant with heart failure? (Select All that Apply.)
Correct Answer: A,B,E,F
Rationale: The correct assessments for an infant with heart failure are monitoring for tachycardia (
A) as it indicates increased workload on the heart, observing for diaphoresis during feeding (
B) as it can indicate increased effort in feeding due to heart failure, assessing for hepatomegaly (E) as it can indicate fluid overload in heart failure, and evaluating feeding difficulties (F) as poor feeding can be a sign of heart failure affecting cardiac output and energy consumption. Polyuria (
C) and hyperthermia (
D) are not typically associated with heart failure in infants.
Extract:
A 6-month-old infant who has a cleft palate.
Question 2 of 5
Which area should the nurse consider when addressing the child's overall development?
Correct Answer: A
Rationale: The correct answer is A: Speech and language acquisition. This is crucial for a child's overall development as it impacts communication, social interaction, and academic success. Language skills are fundamental for expressing thoughts and emotions. Gross motor skills (
B) and fine motor skills (
C) are important but do not encompass the full scope of development. Cognitive development (
D) is significant but focuses more on thinking processes. Other choices are not relevant to overall development.
Extract:
A preschool-aged child who had a myringotomy with a tympanoplasty tube insertion 4 days ago.
Question 3 of 5
Which of the following actions should the nurse identify as an indication that the teaching was effective? (Select All that Apply.)
Correct Answer: A,D,E
Rationale: The correct answers are A, D, and E. A is correct because when the parent applies the prescribed medication as instructed, it shows understanding of the teaching. D is correct because developing a plan to have the child use ear plugs in the shower demonstrates proactive behavior to prevent infection. E is correct because noticing purulent drainage and reporting it to the surgeon promptly indicates understanding of potential complications.
Choices B and C are incorrect because allowing the child to lift their older sibling and enforcing nose blowing are not necessarily indications of effective teaching.
Extract:
A child with a terminal diagnosis.
Question 4 of 5
Which of the following statements by the newly hired nurse indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B because it demonstrates an understanding of the psychological impact on siblings when a parent is focused on caring for a terminally ill child. This response shows awareness of potential mental health issues that siblings may face due to the shifting dynamics within the family.
Choice A is incorrect as it focuses on parents' reliance on hospice care rather than the impact on siblings.
Choice C is incorrect as it oversimplifies the grieving process for parents, which can vary greatly.
Choice D is incorrect as it confuses feelings of hope with decision-making abilities in end-of-life care.
Extract:
A preschooler who has strabismus.
Question 5 of 5
Which of the following should the nurse identify as a possible complication of this condition?
Correct Answer: A
Rationale: The correct answer is A: Amblyopia. Amblyopia is a possible complication of the condition because it is commonly associated with visual impairments such as strabismus, which can lead to a lazy eye. Amblyopia occurs when the brain favors one eye over the other, resulting in reduced vision in the weaker eye. Hypotropia (
B), Otorrhea (
C), and Exotropia (
D) are not directly related to visual complications commonly seen in this condition.