ATI RN
ATI NUR209 Maternal Newborn Final Assessment 2025 Questions
Extract:
Child with a heart defect, weighs 19 pounds, prescribed Lanoxin elixir at 0.07 mg/kg/day in two doses
Question 1 of 5
A child with a heart defect has been prescribed a maintenance dose of Lanoxin elixir at 0.07 mg/kg/day, divided into two doses. The child weighs 19 pounds. What is the maximum dose of medication the nurse should administer in each dose?
Correct Answer: A
Rationale: 19 pounds = 8.64 kg; 0.07 mg/kg/day = 0.605 mg/day; divided into two doses = 0.3025 mg/dose. Closest safe dose is 0.3 mg, but 0.15 mg is typically used to avoid toxicity, aligning with pediatric digoxin dosing precision.
Extract:
Sexually active adolescent female concerned about gonorrhea
Question 2 of 5
Which assessment finding would the nurse expect to find in a sexually active adolescent female concerned that she has contracted gonorrhea?
Correct Answer: B
Rationale: Slight yellow vaginal discharge is typical of gonorrhea due to mucopurulent cervicitis. Fever is rare unless disseminated, frothy discharge suggests trichomoniasis, and decreased urinary frequency is not associated; increased frequency is more likely.
Extract:
13-year-old with muscular dystrophy receiving corticosteroids
Question 3 of 5
When caring for a 13-year-old with muscular dystrophy receiving corticosteroids to slow disease progression, which of the following medication side effects would you assess for?
Correct Answer: A,B,D
Rationale: Weight gain (
A), mood changes (
B), and osteoporosis (
D) are common corticosteroid side effects due to metabolic, neuropsychiatric, and bone metabolism impacts. Chronic fatigue is not a primary effect, though muscle weakness may occur.
Extract:
5-year-old child postoperative following a tonsillectomy
Question 4 of 5
A nurse is caring for a 5-year-old child who is postoperative following a tonsillectomy. Which of the following pain scales should the nurse use to determine the child's pain level?
Correct Answer: D
Rationale: The FACES scale, with pictorial faces, is age-appropriate for a 5-year-old to express pain. Oucher and Visual Analog Scale suit older children, and FLACC is for non-verbal patients.
Extract:
5-year-old child following an asthma event, caregiver expects unsupervised inhaler use
Question 5 of 5
A nurse in an acute pediatric unit is assessing a 5-year-old child following an asthma event. The child's caregiver expects the child to use an inhaler without supervision. The nurse can apply which of the following interventions as protective factors for the child?
Correct Answer: B
Rationale: Educating caregivers on developmental readiness for unsupervised inhaler use ensures age-appropriate expectations. Teaching the child, community resources, or educator referral are less focused on addressing developmental limitations.