ATI RN
ATI Nur232g Pediatrics Final Exam Questions
Extract:
A nurse is collecting data from an adolescent.
Question 1 of 5
A nurse is collecting data from an adolescent. Which of the following should the nurse identify as the greatest risk for suicide?
Correct Answer: C
Rationale: The correct answer is C: Active psychiatric disorder. Adolescents with active psychiatric disorders, such as depression or bipolar disorder, are at the greatest risk for suicide due to their mental health struggles. These disorders can significantly impair their ability to cope with stressors and lead to feelings of hopelessness and worthlessness. It is crucial for the nurse to identify and address these underlying mental health issues to prevent suicide.
Other choices are incorrect because:
A: Homosexuality is not a direct risk factor for suicide, but discrimination and lack of acceptance may contribute to increased risk.
B: Family conflict can be a stressor but is not the primary risk factor for suicide in adolescents.
D: Availability of firearms is a risk factor, but active psychiatric disorders have a stronger correlation with suicide risk in adolescents.
Extract:
A nurse is caring for a group of adolescents.
Question 2 of 5
A nurse is caring for a group of adolescents. Which of the following findings should be reported to the provider immediately?
Correct Answer: B
Rationale: The correct answer is B. A sudden drop in blood pressure upon standing (orthostatic hypotension) can indicate significant fluid loss or dehydration, potentially leading to hypovolemic shock. This finding requires immediate medical attention to prevent worsening complications. A: The crying client with a burn injury may be in pain but does not indicate an immediate life-threatening situation. C: An increase in pain level after ambulation is expected post-fracture and does not require immediate intervention. D: A slight temperature elevation postoperatively is common and does not necessitate urgent reporting.
Extract:
A nurse is assessing a 10-month-old infant.
Question 3 of 5
A nurse is assessing a 10-month-old infant. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A because by 10 months, infants should be able to sit steadily without support, indicating proper gross motor development. This milestone is important for future motor skills and is a red flag if not achieved.
Choices B, C, and D are incorrect because they are more related to fine motor and cognitive development, which may vary at this age and are not as critical as the ability to sit steadily.
Extract:
A nurse is caring for a child who has a tracheostomy.
Question 4 of 5
A nurse is caring for a child who has a tracheostomy. After suctioning the tracheostomy, the nurse should use which of the following findings to determine that the procedure was effective?
Correct Answer: B
Rationale: The correct answer is B: Clear breath sounds. After suctioning a tracheostomy, clear breath sounds indicate that the airway is patent and free of secretions, demonstrating effective removal of mucus. Brisk capillary refill (
A) assesses peripheral circulation, not airway clearance. Increased respiratory rate (
C) may indicate respiratory distress, not necessarily effectiveness of suctioning. Stable oxygen saturation (
D) is important but does not directly confirm airway clearance.
Extract:
A nurse is caring for a 12-month-old toddler who is hospitalized and confined to a room with contact precautions in place.
Question 5 of 5
A nurse is caring for a 12-month-old toddler who is hospitalized and confined to a room with contact precautions in place. Which of the following toys should the nurse recommend in order to meet the developmental needs of the client?
Correct Answer: B
Rationale: The correct answer is B: Large building blocks. At 12 months, toddlers are in the sensorimotor stage and benefit from toys that promote physical exploration and fine motor skills. Large building blocks encourage hand-eye coordination, problem-solving, and creativity. Hanging crib toys (choice
A) are more suitable for younger infants. Modeling clay (choice
C) can be a choking hazard and not developmentally appropriate. Crayons and coloring books (choice
D) are more suitable for older children who have developed better fine motor skills.