ATI RN
ATI Pediatrics Final Exam 2025 Questions
Extract:
The nurse is caring for a pediatric client diagnosed with diabetes mellitus who receives insulin injections.
Question 1 of 5
The nurse demonstrates atraumatic care for a pediatric client receiving insulin injections in this hospital for a new diagnosis of diabetes mellitus with which action?
Correct Answer: B
Rationale: The correct answer is B: Explaining the procedure in simple terms to the client before administering the insulin. This is important in pediatric care to reduce fear and anxiety, promote trust, and empower the client in understanding their treatment. By providing information in a clear and age-appropriate manner, the nurse helps the child feel more comfortable and cooperative during the procedure. Administering the injection quickly (
A) may increase the child's anxiety and discomfort. Asking the client to look away (
C) might not address the underlying fear and may lead to increased anxiety. Using a larger needle (
D) is not recommended as it can increase pain and potential tissue damage.
Extract:
The nurse is reinforcing teaching to the parent of a 7-year-old child who has manifestations consistent with attention deficit hyperactivity disorder (ADHD).
Question 2 of 5
Which of the following statements should the nurse make regarding the screening and diagnosis of ADHD?
Correct Answer: B
Rationale: The correct answer is B. The nurse should make a statement regarding the comprehensive evaluation needed for the screening and diagnosis of ADHD because it aligns with evidence-based practice. A comprehensive evaluation involves assessing specific criteria such as detailed history and behavior assessment, which are essential for an accurate diagnosis of ADHD. This approach ensures that the diagnosis is based on objective information rather than assumptions or generalizations. It also allows for a more thorough understanding of the individual's symptoms and functioning, leading to tailored treatment plans.
Choices A, C, and D are incorrect because determining a diagnosis of ADHD based solely on family history, symptoms in one setting, or a blood test are not sufficient or recommended methods for diagnosing ADHD according to clinical guidelines.
Extract:
A nurse is caring for a 13-year-old adolescent in the pediatric emergency room who has a suspected head injury.
Question 3 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Collect data on physical examination. This should be the first action because it allows the nurse to assess the adolescent's current health status, identify any urgent issues, and prioritize care. Administering pain medication (
B) may be needed but should come after assessing the patient. Notifying the primary care provider (
C) and collecting a detailed past medical history (
D) are important but should follow the initial assessment.
Extract:
A nurse is assisting with care for an 11-year-old child who has appendicitis.
Question 4 of 5
For which of the following complications should the nurse anticipate assisting with collecting data for the RN assessment of the client?
Correct Answer: D
Rationale: The correct answer is D: Peritonitis. The nurse should anticipate assisting with data collection for the RN assessment because peritonitis is a serious condition that requires immediate intervention. Signs and symptoms of peritonitis include severe abdominal pain, tenderness, fever, and possible rigidity. The nurse plays a crucial role in collecting data to assist the RN in accurately assessing the client's condition. Pyloric stenosis, celiac disease, and gastroenteritis are gastrointestinal conditions that do not typically present with the acute and severe symptoms associated with peritonitis.
Therefore, assisting with data collection for these conditions would not be as urgent or critical.
Extract:
A nurse is assisting in the care of an infant diagnosed with tetralogy of Fallot.
Question 5 of 5
The infant's caregiver asks the nurse to explain this diagnosis. Which of the following is an accurate statement about this condition?
Correct Answer: A
Rationale: The correct answer is A because it accurately describes Tetralogy of Fallot, which consists of pulmonary stenosis, ventricular septal defect, right ventricular hypertrophy, and an overriding aorta. Pulmonary stenosis is the narrowing of the pulmonary valve, leading to reduced blood flow to the lungs. Ventricular septal defect is a hole in the wall between the ventricles, causing oxygenated and deoxygenated blood to mix. Right ventricular hypertrophy occurs due to the heart working harder to pump blood through the narrowed pulmonary valve. An overriding aorta means the aorta is positioned directly over the ventricular septal defect, allowing mixed blood to be pumped to the body.
Choice B is incorrect as it oversimplifies the condition by only mentioning the aorta's placement.
Choice C is incorrect as it lists different heart defects not associated with Tetralogy of Fallot.
Choice D is incorrect as it incorrectly describes the mixing of oxygenated and deo