The nurse is explaining to a 17-year-old female the actions to prevent urinary tract infection. The nurse determines the adolescent understands the information when she says a good drink to keep urine acidic is:

Questions 56

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ATI Pediatrics Practice Questions Questions

Question 1 of 9

The nurse is explaining to a 17-year-old female the actions to prevent urinary tract infection. The nurse determines the adolescent understands the information when she says a good drink to keep urine acidic is:

Correct Answer: C

Rationale: Apple juice (C) acidifies urine, deterring UTIs. Milk (A) is neutral, grape (B) less effective, and orange (D) is acidic but less cited. Document: 'Juices such as apple or cranberry help maintain acidity of urine.'

Question 2 of 9

A child with leukemia is prone to

Correct Answer: D

Rationale: All D result from leukemia, per document p57, 7.

Question 3 of 9

What type of diet is recommended for the menopausal woman?

Correct Answer: A

Rationale: A low-fat, high-fiber, and soy diet (A) helps manage menopausal symptoms via phytoestrogens and heart health. Other options (B, C, D) lack soy’s specific benefits. Document: 'A low-fat, high-fiber, and soy diet… [is used for] managing menopausal symptoms.'

Question 4 of 9

A physician should be informed if a 7-year-old with a fractured femur in a cast shows

Correct Answer: C

Rationale: Inability to move toes C suggests circulation issues, per document p11, .

Question 5 of 9

An adolescent who is brought to the emergency department (ED) by his parents has the following symptoms: periumbilical pain that peaks at 4-hour intervals followed by right lower quadrant pain, which is followed by vomiting. Based on these data, which condition does the nurse suspect?

Correct Answer: C

Rationale: Periumbilical pain shifting to the right lower quadrant (McBurney’s point) with vomiting is characteristic of appendicitis . Meckel’s diverticulum may cause bleeding, omphalitis is umbilical infection, and ulcerative colitis involves chronic diarrhea, not acute localized pain.

Question 6 of 9

Body mass index (BMI) should be calculated starting at age:

Correct Answer: C

Rationale: BMI screening starts at age 2 , per AAP, as it aligns with standardized growth charts. Earlier ages (A, B) use weight-for-length, and later starts (D, E) delay assessment.

Question 7 of 9

A newborn girl appears with ambiguous genitalia and a 46,XX karyotype. Labs reveal elevated 17-hydroxyprogesterone. Most likely diagnosis is:

Correct Answer: A

Rationale: CAH fits XX karyotype and elevated 17-OHP, per AAP (doc p149, Q574).

Question 8 of 9

When a parent asks the nurse to describe what is meant by a 'learning disability,' the nurse's most helpful response would be:

Correct Answer: B

Rationale: A learning disability (B) involves challenges in perception, language, or comprehension despite normal intelligence. A describes ADHD, C implies low IQ, and D suggests injury, not typical. Document: 'Children with learning disabilities may have… difficulties in perception, language, comprehension.'

Question 9 of 9

A 5-year-old girl presents with hematuria and hypertension. Ultrasound shows a renal mass. Most likely diagnosis is:

Correct Answer: B

Rationale: Wilms tumor presents with hematuria, hypertension, and a renal mass, per NCI. A, C-E have different features.

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