ATI RN
ATI Pediatrics Final Exam 2025 Questions
Extract:
A nurse is preparing to administer ear drops to a 2-year-old toddler who has an ear infection and a small amount of purulent drainage visible around the ear.
Question 1 of 5
Which of the following techniques should the nurse use when instilling the medication?
Correct Answer: B
Rationale: The correct answer is B because applying clean gloves and cleaning the outer ear before instilling drops helps prevent contamination and reduces the risk of infection. Cleaning the outer ear also ensures better absorption of the medication.
Choice A is incorrect as microwaving the medication can alter its composition.
Choice C is incorrect because pushing a cotton ball into the ear canal can cause injury or blockage.
Choice D is incorrect as pulling the child's ear auricle can lead to discomfort and improper medication administration.
Extract:
A nurse is assisting in the care of a toddler whose caregivers have questions about allergies.
Question 2 of 5
Which of the following should the nurse identify as the most common allergic reaction in children?
Correct Answer: A
Rationale: The correct answer is A: Allergic rhinitis. This is the most common allergic reaction in children as it presents with symptoms such as sneezing, runny nose, and nasal congestion. Allergic rhinitis is often triggered by allergens like pollen, dust mites, or pet dander. Systemic reactions (choice
B) involve multiple organ systems, hives (choice
C) are characterized by red, itchy welts on the skin, and anaphylaxis (choice
D) is a severe, life-threatening allergic reaction that requires immediate medical intervention.
Therefore, based on prevalence and symptom presentation, allergic rhinitis is the most common allergic reaction in children.
Extract:
A nurse is discussing contraceptives with an adolescent who has disabilities. The adolescent has difficulty with motor movements and decreased memory.
Question 3 of 5
Which of the following birth control methods would be most appropriate for this child?
Correct Answer: B
Rationale: The most appropriate birth control method for this child would be Depot medroxyprogesterone acetate injection (choice
B) because it is a long-acting reversible contraceptive that does not require daily administration, which can be beneficial for adolescents who may have difficulty with adherence. This method also has a high efficacy rate when used correctly. Intrauterine devices (choice
A) may not be suitable for adolescents who have not given birth due to potential discomfort during insertion. Contraceptive patches (choice
C) and combined oral contraceptives (choice
D) require daily use and may have a higher risk of non-compliance in adolescents.
Extract:
A nurse is assisting in the care of a 3-year-old preschool child who has extreme manifestations of lead poisoning.
Question 4 of 5
Which of the following actions should the nurse perform first?
Correct Answer: B
Rationale: The correct answer is B: Provide supportive care to manage common symptoms of nausea and pain. This is the first action the nurse should take because it addresses the immediate needs of the child and focuses on symptom management. Nausea and pain are common symptoms of lead exposure and should be addressed promptly to provide comfort to the child. Scheduling a follow-up blood test (
Choice
A) is important but not the first step as addressing symptoms should take priority. Promoting a balanced diet (
Choice
C) is beneficial in the long term but does not address the immediate symptoms. Notifying the health department (
Choice
D) is important for investigating potential lead exposure sources but does not directly help the child's current symptoms.
Extract:
A nurse is reinforcing education to the parents of a newborn who has Down syndrome.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A because recommending early intervention services for developmental support within the first month after birth is crucial for optimizing outcomes for infants with developmental delays. Early intervention has been shown to improve developmental outcomes and overall quality of life. It is a proactive approach that can address potential issues early on.
Choice B is incorrect because genetic testing for reproductive decisions is not the immediate action needed for developmental support.
Choice C is incorrect as it puts the burden of research on the parents when the nurse should be guiding them.
Choice D is incorrect as it focuses on routine healthcare rather than developmental support.