ATI RN
ATINur2708 Pediatrics Final Exam Questions
Extract:
Infant with myelomeningocele before surgical intervention.
Question 1 of 5
A new graduate nurse is caring for an infant with myelomeningocele before surgical intervention. Which action will demonstrate the need for further education by their preceptor?
Correct Answer: A
Rationale: A: Keeping the myelomeningocele uncovered and dry increases infection risk; it should be covered with a moist, sterile dressing, indicating a need for further education.
Extract:
Adolescent girl, 16 years old, post-spinal instrumentation surgery.
Question 2 of 5
An adolescent girl has spinal instrumentation surgery at 16 years of age. Immediately after this procedure, the nurse would teach her to:
Correct Answer: B
Rationale: B: Log rolling maintains spinal alignment, preventing strain on the surgical site.
Extract:
30-month-old child during a routine well-child visit.
Question 3 of 5
The nurse is assessing a 30-month-old child during a routine well-child visit. Which statement by the parent would alert the nurse to further assess for learning disorder?
Correct Answer: D
Rationale: D: Limited speech (1-2 words) and grunting at 30 months suggest a potential learning or developmental disorder, requiring further assessment.
Extract:
Child with type 2 diabetes.
Question 4 of 5
Which of the following topics should be included in patient teaching for a child with type 2 diabetes?
Correct Answer: A,B,D
Rationale: A: Physical activity helps manage blood sugar. B: Monitoring blood sugar is critical for control. D: A balanced diet supports stable glucose levels.
Extract:
School-age child with type 1 diabetes mellitus.
Question 5 of 5
A nurse is teaching a school-age child who has type 1 diabetes mellitus and their parents about management during an illness. Which of the following instructions should the nurse include?
Correct Answer: A,E
Rationale: A: Fluids with carbohydrates maintain blood glucose levels when solid foods aren't tolerated. E: Testing for ketones monitors for diabetic ketoacidosis risk during illness. B, C, D, F are incorrect as protein testing isn't relevant, sugar-free fluids risk hypoglycemia, carbs shouldn't be limited, and insulin must not be withheld.