ATI RN
ATI Nur209 Pediatrics Final Assessment 2025 Questions
Extract:
A newborn with a spiral fracture of the right femur
Question 1 of 5
A newborn is admitted with a diagnosis of a spiral fracture of the right femur. The mother states the child received the injury when the baby fell off the changing table. Which would be the priority nursing intervention?
Correct Answer: D
Rationale: Spiral fractures in non-ambulatory infants are highly suggestive of abuse, requiring immediate reporting to the child abuse hotline.
Extract:
A 2-year-old, a 6-year-old, a 4-year-old, a 10-year-old
Question 2 of 5
Which of the following clients would the nurse report as a suspected abuse case?
Correct Answer: C
Rationale: Circular abrasions around the wrists suggest binding or restraint injuries, a red flag for abuse, unlike common accidental injuries like forehead bruises or palm burns.
Extract:
A sexually active adolescent female concerned about gonorrhea
Question 3 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: Gonorrhea commonly presents with yellow, purulent vaginal discharge, unlike frothy discharge (trichomoniasis) or decreased urinary frequency.
Extract:
A 16-year-old with bruising around eyes and neck
Question 4 of 5
A 16-year-old is brought to the emergency room by her boyfriend with bruising around her eyes and neck. When asked what happened she states, 'I walked into a door.' What are the most appropriate interventions by the nurse? (Select All that Apply.)
Correct Answer: A,B,D,E
Rationale: Maintaining a calm demeanor, asking about safety, interviewing privately, and contacting police (if mandated) address suspected abuse safely. Confronting the boyfriend risks escalation.
Extract:
A client having a biophysical profile
Question 5 of 5
A nurse is caring for a client having a biophysical profile. The client asks what the test is for. What should the nurse include in the response? (Select All that Apply.)
Correct Answer: A,C,E
Rationale: The biophysical profile assesses fetal well-being through fetal motion, breathing, and amniotic fluid volume. Gender and neck translucency are not part of the BPP.