ATI RN
ATI Nur235 Pediatrics Final Exam Questions
Extract:
Preschooler needing adequate calcium intake.
Question 1 of 5
Which food suggestion would be most appropriate for the mother of a preschooler to ensure an adequate intake of calcium?
Correct Answer: B
Rationale: The correct answer is B: White beans. White beans are rich in calcium, which is essential for bone health in preschoolers. The high calcium content in white beans can help ensure an adequate intake for the mother. Enriched bread (choice
A) may not provide enough calcium. Fortified cereal (choice
C) may contain added calcium, but it is not as natural as white beans. Spinach (choice
D) contains calcium but also has oxalates that can inhibit calcium absorption. White beans are the best choice among the options provided for ensuring an adequate calcium intake for the mother of a preschooler.
Extract:
First-time parent with a well-newborn pending discharge.
Question 2 of 5
A first-time parent is pending discharge from the hospital with a well-newborn. What information should the nurse include in the discharge teaching to the parents?
Correct Answer: B
Rationale:
Correct
Answer: B
Rationale: The correct answer is B because it is important for the nurse to educate the parents that their newborn will not need additional immunizations until the 1 or 2 month check-ups. Newborns typically receive their first set of immunizations at these appointments to protect them from various diseases. This information is crucial for parents to ensure the health and well-being of their newborn.
Summary of Incorrect
Choices:
A: Expect to wake your baby for all feedings - This is incorrect as newborns should be fed on demand rather than being woken up for feedings.
C: Your baby should gain full head control by 1 month - This is incorrect as newborns develop head control over a period of time, and it may vary from one baby to another.
D: Expect your baby to triple their birth weight by 4-6 months - This is incorrect as the rate of weight gain can vary among babies and may not always follow a specific timeline.
Extract:
Infant with heart failure due to a congenital heart defect.
Question 3 of 5
An infant is admitted to the pediatric unit with heart failure due to a congenital heart defect. What assessment finding would the nurse expect with this diagnosis?
Correct Answer: B
Rationale: The correct answer is B: Difficulty feeding. Infants with heart failure due to a congenital heart defect may have difficulty feeding due to fatigue and poor oxygenation. This is because the heart's inability to efficiently pump blood leads to inadequate oxygen supply to meet the body's demands, causing fatigue and decreased energy for feeding. Polyuria (
A) is excessive urination, not typically associated with heart failure in infants. Bradycardia (
C) is a slow heart rate, which is not a typical finding in heart failure. Bradypnea (
D) is a slow respiratory rate, which may occur but is not as specific to heart failure as difficulty feeding.
Extract:
14-year-old client with celiac disease.
Question 4 of 5
The nurse is caring for a 14-year-old client diagnosed with celiac disease. The nurse knows that the client understands the diet instructions when they request which of the following meals?
Correct Answer: B
Rationale: The correct answer is B: Cheese, banana slices, rice cakes, and whole milk. This meal is appropriate for a client with celiac disease as it does not contain gluten, which is harmful to individuals with celiac disease. Cheese, banana slices, rice cakes, and whole milk are all naturally gluten-free options. Cheese provides protein and calcium, banana slices offer potassium and fiber, rice cakes are a gluten-free carbohydrate source, and whole milk is a good source of calcium and vitamin D. This meal is well-balanced and suitable for someone with celiac disease.
Summary of other choices:
A: Low-fat yogurt with blueberries and granola - Granola often contains gluten, which is not suitable for someone with celiac disease.
C: Eggs, bacon, rye toast, and lactose-free milk - Rye toast contains gluten and is not safe for someone with celiac disease.
D: Egg, cheese, and sausage wrapped in a flour tortilla - Flour tortillas are
Extract:
10-year-old client post-cardiac catheterization.
Question 5 of 5
A nurse is providing discharge instructions to the parent of a 10-year-old client following cardiac catheterization. Which instruction should the nurse include in the teaching?
Correct Answer: A
Rationale:
Correct
Answer: A - Give the child acetaminophen for discomfort
Rationale: Acetaminophen is a safe and effective pain reliever commonly used post-cardiac catheterization. It helps manage discomfort without affecting blood clotting or causing gastrointestinal irritation. It is important to provide pain relief to improve the child's comfort and promote recovery.
Summary of Incorrect
Choices:
B: Encouraging bed rest for one week is unnecessary and can lead to complications like blood clots and muscle weakness.
C: Advancing to a full diet after 24 hours can increase the risk of gastrointestinal issues due to potential post-procedure nausea or vomiting.
D: Taking a tub bath within the first 3 days can increase the risk of infection at the catheter insertion site.