ATI RN
ATI Nur209 Pediatrics Final Assessment 2025 Questions
Extract:
A 19-year-old with painful lesions, fever, headache, vaginal discharge, diagnosed with HSV-2
Question 1 of 5
A 19-year-old goes to Planned Parenthood clinic with complaints of painful lesions, fever, headache, and vaginal discharge. After testing she is diagnosed with Herpes simplex virus type 2. What education should the nurse include in a teaching plan? (Select All that Apply.)
Correct Answer: A,B,D
Rationale: Barrier protection, handwashing, and perineal care reduce HSV-2 transmission and complications. Penicillin is ineffective, and Gardasil protects against HPV, not HSV.
Extract:
An infant or child in heart failure
Question 2 of 5
Which assessment findings would alert the nurse to an infant or child in heart failure? (Select All that Apply.)
Correct Answer: A,B,C,E
Rationale: Heart failure in children presents with poor feeding, tachypnea, lung sounds like wheezes/rales, and peripheral edema. Lying flat worsens symptoms, and urine output decreases due to reduced renal perfusion.
Extract:
A newborn 1 minute after delivery with heart rate 120/min, slow weak cry, some flexion, grimace, pink body with blue extremities
Question 3 of 5
A Higienurse is caring for a newborn and calculating the Apgar score. At 1 min after delivery, the following findings are noted: heart rate of 120/min; slow, weak cry; some flexion of extremities; grimace in response to suctioning of the nares; body pink in color with blue extremities. Calculate the newborn's Apgar score.
Correct Answer: 6
Rationale: Heart rate (2), respiratory effort (1), muscle tone (1), reflex irritability (1), color (1) sum to an Apgar score of 6.
Extract:
A client with a suspected diagnosis of endometriosis
Question 4 of 5
Which of the following findings in the client's medical history should the nurse identify as consistent with a diagnosis of endometriosis?
Correct Answer: A
Rationale: Severe dysmenorrhea (painful periods) unrelieved by NSAIDs is a hallmark symptom of endometriosis. The condition occurs when endometrial-like tissue grows outside the uterus, leading to inflammation and pain.
Extract:
A client 1 hour after delivery with lochia rubra and small clots
Question 5 of 5
A nurse is assessing a client 1 hour after delivery and notices a large amount of lochia rubra along with several small clots on the perineal pad. The client's fundus is firm and located at the umbilical level, in the midline. What action should the nurse take next?
Correct Answer: B
Rationale: A firm fundus with normal lochia rubra and small clots is expected post-delivery, requiring only documentation and continued monitoring.