ATI RN
ATI Nur 223a Sect 4 Pediatrics Final Exam Questions
Extract:
Erikson's stages of psychosocial development.
Question 1 of 5
A nurse has accepted a position on a pediatric unit and is learning about psychosocial development. Organize Erikson's stages of psychosocial development in order from birth to adolescence.
Correct Answer: A,B,C,D,E
Rationale: Correct order: Trust vs. mistrust (birth-18 months), Autonomy vs. shame and doubt (18 months-3 years), Initiative vs. guilt (3-5 years), Industry vs. inferiority (6-11 years), Identity vs. role confusion (12-18 years).
Extract:
Nurses Notes (0700 hrs): Client presents to the ED with guardian. Client reports that they began having pain around their “belly button†the previous evening around 2100. Reports that pain is now in right lower quadrant and became worse earlier this morning. Reports nausea. Abdomen soft with tenderness to palpation in right lower quadrant. Bowel sounds positive in all four quadrants. Verbalizes increase in pain when right hip is flexed and rotated internally. Rates pain as 6 on a 0 to 10 pain scale. Notified provider of client's arrival and assessment data. Prescriptions received. Vital Signs (0700 hrs): Temperature: 37.7°C (99.9°F), Pulse rate: 98/min, Respiratory rate: 22/min, Blood pressure: 124/64 mm Hg, Oxygen saturation: 99% on room air. Diagnostic Results (0700 hrs): CBC and C-Reactive Protein drawn and sent to lab. Nurses Notes (0800 hrs): Client continues to report right lower quadrant pain, now rated as 7 on a 0 to 10 pain scale. Reports increased nausea and has vomited once. Abdomen remains soft with increased tenderness in the right lower quadrant. Bowel sounds remain positive in all four quadrants. Client appears more uncomfortable and is guarding the right lower quadrant. Notified provider of client's status and updated assessment data. Vital Signs (0800 hrs): Temperature: 38.1°C (100.6°F), Pulse rate: 102/min, Respiratory rate: 24/min, Blood pressure: 126/68 mm Hg, Oxygen saturation: 98% on room air. Diagnostic Results (0800 hrs): WBC count: 22,000/mm³, RBC count: 4.5 million/mm³, Hgb: 14 g/dL, Hct: 44%, Platelets: 350,000/mm³, C-Reactive Protein: 11.8 mg/dL.
Question 2 of 5
The nurse has notified the provider of the client's 0800 assessment data and lab results. Which of the following prescriptions should the nurse anticipate?
Correct Answer: B,D,E,F
Rationale:
Choice A: Promethazine is an antiemetic but does not address appendicitis.
Choice B: Consent for surgery is needed for appendectomy.
Choice C: Acetaminophen does not treat the cause.
Choice D: IV antibiotics prevent infection.
Choice E: NPO status prepares for surgery.
Choice F: Ultrasound confirms appendicitis.
Choice G: Enemas could worsen the condition.
Extract:
9-month-old infant.
Question 3 of 5
A nurse in a clinic is assessing a 9-month-old infant. Which of the following findings requires further intervention?
Correct Answer: D
Rationale: A positive Moro reflex at 9 months is abnormal, indicating potential neurological issues.
Extract:
5-year-old child has a cardiac catheterization via the femoral artery.
Question 4 of 5
A 5-year-old child has a cardiac catheterization via the femoral artery. Which assessment would be most important to complete after the procedure?
Correct Answer: D
Rationale: Checking pedal pulses ensures adequate blood flow post-catheterization.
Extract:
Mother of a boy with Tetralogy of Fallot.
Question 5 of 5
The nurse would teach the mother of a boy with Tetralogy of Fallot that if the child suddenly becomes cyanotic and dyspneic, the mother should:
Correct Answer: A
Rationale: Knee-chest position increases systemic vascular resistance, reducing right-to-left shunt and improving oxygenation.