ATI RN
ATI Nur209 Pediatrics Final Assessment 2025 Questions
Extract:
A client with a suspected diagnosis of endometriosis
Question 1 of 5
Which of the following findings in the client's medical history should the nurse identify as consistent with a diagnosis of endometriosis?
Correct Answer: A
Rationale: The correct answer is A: Dysmenorrhea that is unresponsive to NSAIDs. Dysmenorrhea, or painful periods, is a common symptom of endometriosis due to the presence of endometrial tissue outside the uterus. NSAIDs are typically used to manage period pain, but if the dysmenorrhea is unresponsive to NSAIDs, it suggests a more severe underlying condition like endometriosis. This finding is consistent with endometriosis because the abnormal growth of endometrial tissue can cause severe and persistent pelvic pain.
Other choices are incorrect because:
B: An atypical Papanicolaou smear is related to cervical cell abnormalities, not endometriosis.
C: A history of PID is an infection of the reproductive organs, not directly linked to endometriosis.
D: Abdominal bloating before menses can be a symptom of various conditions, but not specific to endometriosis.
Extract:
A 13-year-old with muscular dystrophy receiving corticosteroids
Question 2 of 5
When caring for a 13-year-old with muscular dystrophy receiving corticosteroids to slow disease progression, which of the following medication side effects would you assess for? (Select All that Apply.)
Correct Answer: B,C,D
Rationale: The correct answer is B, C, D. 1) Mood changes: Corticosteroids can cause mood swings in adolescents. 2) Weight gain: Common side effect of corticosteroids due to fluid retention and increased appetite. 3) Osteoporosis: Long-term corticosteroid use can lead to bone density loss. A: Chronic fatigue and E: Weight loss are less likely with corticosteroid use in this context.
Extract:
A menopausal woman who opts not to use hormone therapy
Question 3 of 5
When advising a menopausal woman who opts not to use hormone therapy, which self-care measure should be emphasized as the most important?
Correct Answer: D
Rationale: The correct answer is D: Performing regular weight-bearing exercises. Weight-bearing exercises help strengthen bones, reducing the risk of osteoporosis common in menopausal women. This measure also improves overall physical health and helps maintain a healthy weight.
Choice A is important but not as crucial as exercise for bone health.
Choice B may have some benefits but are not as effective as exercise.
Choice C is not supported by evidence for menopausal women.
Choices E, F, and G are not provided.
Extract:
On a pediatric unit
Question 4 of 5
Which task is most appropriate for the nurse to delegate to the unlicensed assistive personnel on a pediatric unit?
Correct Answer: C
Rationale: The correct answer is C: Weigh the diaper of an infant for output. This task involves a routine, non-invasive procedure that does not require specialized medical training. It can be safely and effectively performed by unlicensed assistive personnel under the supervision of a nurse. Assessing a dressing (
A) and calculating the Morse Fall Scale (
B) require clinical judgment and interpretation of data, which should be done by a licensed nurse. Assessing developmental milestones (
D) involves complex cognitive skills and requires a healthcare professional with training in child development.
Therefore, delegating the task of weighing a diaper for output (
C) is the most appropriate choice for unlicensed assistive personnel on a pediatric unit.
Extract:
A breastfeeding client
Question 5 of 5
Which three (3) assessment findings indicate that the breastfeeding client has achieved a proper latch?
Correct Answer: A,B,D
Rationale: The correct answer is A, B, and D. A proper latch is essential for effective breastfeeding.
Choice A indicates a proper latch as the infant's tongue cups under the breast with lips flanged, creating a seal for efficient milk transfer. Audible swallowing (
Choice
B) signifies the baby is effectively drinking milk. The rhythmic sucking pattern visible to the mother (
Choice
D) indicates proper latch and milk transfer.
Choices C and E, slurping or clicking sounds and dimpling of the infant's cheeks, respectively, are indicative of a poor latch and inefficient milk transfer.