ATI RN
ATINur2708 Pediatrics Final Exam Questions
Extract:
1-year-old child with Down syndrome, parent concerned about delayed walking.
Question 1 of 5
The clinic nurse talks with the parent of a child with Down syndrome. The parent states, 'I thought my 1-year-old would be walking by now. I am concerned.' What response by the nurse is best?
Correct Answer: A
Rationale: A: Explaining that developmental delays are common in Down syndrome addresses the parent's concern directly and reassuringly.
Extract:
16-year-old adolescent collapsed after playing football on a hot day. Lab findings: Sodium 152 mEq/L, Potassium 3.6 mEq/L, Chloride 105 mEq/L, Glucose 102 mg/dL, BUN 18 mg/dL, Creatinine 0.7 mg/dL.
Question 2 of 5
A nurse in the emergency department is caring for a 16-year old adolescent who collapsed after playing football on a hot day. After reviewing the admission laboratory findings, the nurse recognizes that these findings are consistent with which of the following conditions?
Correct Answer: D
Rationale: D: Elevated sodium (152 mEq/L) indicates hypernatremia, consistent with dehydration from fluid loss in heat exposure.
Extract:
Child with juvenile idiopathic arthritis.
Question 3 of 5
The physician of a child with juvenile idiopathic arthritis asks the nurse to telephone the school to arrange a new activity program for her. A change the nurse would anticipate arranging for the child is to:
Correct Answer: B
Rationale: B: Modifying the exercise program accommodates joint health, allowing safe participation in activities.
Extract:
School-age child with full-thickness burns to 30% of the total body surface area (TBSA). Vital Signs: Oral temperature 38° C (100.2°F), Respiratory rate 34/min, Heart rate 115/min, Blood pressure 86/54 mm Hg, SaO2 94%. Medication: Lactated Ringer's IV, Fentanyl 28 mcg IV prn, Silver sulfadiazine topically. Physical Examination: 30% TBSA burns to bilateral lower extremities, 4+ edema, sluggish capillary refill, nonpalpable pedal pulses.
Question 4 of 5
A nurse is initiating the client's plan of care. Complete the following sentence by using the list of options. The client is at highest risk for developing as evidenced by the client's
Correct Answer: A,B
Rationale: A: Acute kidney injury is a risk due to hypoperfusion from burns and shock. B: Monitoring urine output (30 mL/hr goal) assesses renal function, a key indicator of kidney injury risk.
Extract:
5-month-old infant scheduled for a lumbar puncture to rule out meningitis.
Question 5 of 5
A nurse is planning care for a 5-month-old infant who is scheduled for a lumbar puncture to rule out meningitis. Which of the following actions should the nurse include in the plan of care?
Correct Answer: B
Rationale: B: Flexing the chin and knees opens the spinal canal, facilitating a safe lumbar puncture.