ATI RN
ATI Nur209 Pediatrics Final Assessment 2025 Questions
Extract:
A child with a heart defect, weighing 19 pounds
Question 1 of 5
A child with a heart defect has been prescribed a maintenance dose of Lanoxin elixir at 0.07 mg/kg/day, divided into two doses. The child weighs 19 pounds. What is the maximum dose of medication the nurse should administer in each dose?
Correct Answer: 0.30 mg/dose
Rationale: The correct answer is 0.30 mg/dose.
To calculate this, first convert the child's weight in pounds to kilograms (19 lbs / 2.2 = 8.64 kg).
Then, multiply the weight by the prescribed dose (0.07 mg/kg/day x 8.64 kg = 0.6048 mg/day). Since the total daily dose is divided into two doses, each dose should be half of the total daily dose (0.6048 mg/day / 2 = 0.3024 mg/dose, rounded to 0.30 mg/dose). This ensures that the child receives the correct amount of medication in each dose.
Choice A and other options are incorrect because they do not follow the correct dosage calculation based on the child's weight and the prescribed dose.
Extract:
A 19-year-old with painful lesions, fever, headache, vaginal discharge, diagnosed with HSV-2
Question 2 of 5
A 19-year-old goes to Planned Parenthood clinic with complaints of painful lesions, fever, headache, and vaginal discharge. After testing she is diagnosed with Herpes simplex virus type 2. What education should the nurse include in a teaching plan? (Select All that Apply.)
Correct Answer: A,B,D
Rationale: The correct answers are A, B, and D. A - Use of barrier protection: Condoms can reduce the risk of transmitting herpes. B - Handwashing: Important to prevent spread of infection. D - Perineal care of genital lesions: Proper care can promote healing and prevent secondary infection. Incorrect choices: C - Penicillin: Ineffective against viruses like herpes. E - Gardasil injection: Gardasil is a vaccine for HPV, not herpes.
Extract:
A sexually active adolescent female concerned about gonorrhea
Question 3 of 5
Which assessment finding would the nurse expect to find in a sexually active adolescent female concerned that she has contracted gonorrhea?
Correct Answer: B
Rationale: The correct answer is B: slight yellow vaginal discharge. Gonorrhea commonly presents with symptoms such as abnormal vaginal discharge, which can be yellowish or greenish in color. This discharge may also have a foul odor. The discharge is a result of the infection causing inflammation in the reproductive tract. The other choices are incorrect because a low-grade fever is not a common symptom of gonorrhea, frothy white vaginal discharge is more indicative of a different infection called trichomoniasis, and a decrease in urinary frequency is not typically associated with gonorrhea. It is important for the nurse to recognize the specific symptoms associated with gonorrhea to provide appropriate care and treatment.
Extract:
A client having a biophysical profile
Question 4 of 5
A nurse is caring for a client having a biophysical profile. The client asks what the test is for. What should the nurse include in the response? (Select All that Apply.)
Correct Answer: A,C,E
Rationale: The correct answer is A, C, and E. A biophysical profile assesses fetal well-being by evaluating fetal motion, breathing, and amniotic fluid volume. Fetal motion indicates the presence of a healthy nervous system. Fetal breathing reflects the maturity of the respiratory system. Amniotic fluid volume is crucial for fetal growth and development.
Choices B and D are incorrect as the test does not assess fetal gender or neck translucency.
Extract:
A client experiencing menopausal symptoms
Question 5 of 5
A nurse is caring for a client who is experiencing menopausal symptoms and asks the nurse about menopausal hormone therapy (HT). The nurse should inform the client that HT is contradicted due to which of the following findings in the client's medical history?
Correct Answer: A
Rationale: The correct answer is A: History of breast cancer. Menopausal hormone therapy is contraindicated in clients with a history of breast cancer due to the potential risk of cancer recurrence or progression. Estrogen in hormone therapy can stimulate the growth of estrogen-sensitive breast cancer cells. This contraindication is based on evidence-based guidelines to prioritize the client's safety and well-being.
Choices B, C, and D are not directly related to the contraindication of hormone therapy in menopausal clients. Multiple hospitalizations for COPD, history of dermatitis, and concurrent treatment for GERD do not have a direct impact on the safety of hormone therapy in clients with menopausal symptoms.