ATI RN
ATI Nurs 307 Pediatrics Quiz Questions
Extract:
An infant with a congenital heart defect.
Question 1 of 4
Which of the following defects is associated with increased pulmonary blood flow?
Correct Answer: D
Rationale: The correct answer is D: Patent ductus arteriosus. This defect leads to increased pulmonary blood flow because the ductus arteriosus, a fetal blood vessel connecting the pulmonary artery and aorta, remains open after birth, allowing blood to flow back into the pulmonary circulation. This results in increased blood volume in the lungs.
A: Coarctation of the aorta is a narrowing of the aorta, leading to decreased blood flow to the lower part of the body, not increased pulmonary blood flow.
B: Pulmonary atresia is a condition where the pulmonary valve is not formed properly, leading to decreased blood flow to the lungs, not increased.
C: Tetralogy of Fallot involves a combination of defects leading to decreased pulmonary blood flow.
Therefore, the correct answer is D as it is the only one associated with increased pulmonary blood flow.
Extract:
A school-age child who has had a cardiac catheterization with a bandage and bed soaked with blood.
Question 2 of 4
Which is the priority nursing action?
Correct Answer: D
Rationale: The correct answer is D: Apply direct pressure above catheterization site. This is the priority nursing action because direct pressure helps to control bleeding effectively, preventing further complications. Placing the child in Trendelenburg position (
B) is not recommended for managing bleeding. Notifying the physician (
A) can be done after providing immediate care. Applying a new bandage (
C) is secondary to controlling bleeding. Other choices are not provided, but remember to always prioritize actions based on patient safety and well-being.
Extract:
An 18-month-old toddler hospitalized for 10 days, sitting quietly, sucking thumb, turning away from the nurse.
Question 3 of 4
The nurse should understand that these behaviors indicate which of the following developmental reactions?
Correct Answer: D
Rationale: The correct answer is D: Regression. This is because the behaviors described typically indicate a return to earlier stages of development in response to stress or anxiety. Children may exhibit behaviors such as bedwetting or thumb-sucking as a way of coping with stress.
A: An anxiety reaction is a general response to stress and does not specifically indicate regression.
B: Developing autonomy refers to a child's desire for independence and is not necessarily related to exhibiting regressive behaviors.
C: Resentment toward the mother does not directly relate to exhibiting regressive behaviors.
Overall, the behaviors described are most indicative of regression, as they reflect a temporary retreat to earlier, less mature behaviors as a coping mechanism.
Extract:
A 10-year-old who has undergone a cardiac catheterization.
Question 4 of 4
At the end of the procedure, the nurse should first assess:
Correct Answer: A
Rationale: The correct answer is A: Pulses. Assessing pulses at the end of a procedure is crucial to monitor circulation and vascular status. This immediate assessment helps identify any vascular compromise or complications. Catheterization report (
B) can be reviewed later. Hemoglobin and hematocrit levels (
C) are important but not the immediate priority. Pain (
D) should be assessed but is not the first step post-procedure.
Extract:
An 18-month-old toddler with a 10-day history of high fever, irritability, and symptoms suggestive of Kawasaki disease.
Question 5 of 4
The nurse should anticipate a provider's prescription for ___ and ___.
Correct Answer: A
Rationale: The correct answer is A because aspirin is commonly used for pain relief and fever reduction, while nebulized racemic epinephrine is used for treating respiratory conditions like asthma exacerbations. By anticipating these medications, the nurse can prepare for immediate administration based on common provider orders for pain and respiratory distress. The other choices are incorrect as they do not align with the standard practice of anticipating prescriptions commonly used for pain and respiratory symptoms.