ATI RN
ATI Nur209 Pediatrics Final Assessment 2025 Questions
Extract:
A 5-year-old child post-asthma event
Question 1 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? (Select All that Apply.)
Correct Answer: A,B,C,E,F
Rationale: Asking about concerns, developmental education, teaching inhaler use, asthma educator referral, and community resources support safe asthma management. Pamphlets may not suit a 5-year-old's comprehension.
Extract:
A 19-year-old with painful lesions, fever, headache, vaginal discharge, diagnosed with HSV-2
Question 2 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 post-myelomeningocele repair
Question 3 of 5
An infant has just undergone surgical repair of a myelomeningocele. What is the priority nursing intervention to perform immediately following the procedure?
Correct Answer: D
Rationale: Monitoring head circumference is critical to detect hydrocephalus, a common complication post-myelomeningocele repair, due to cerebrospinal fluid obstruction.
Extract:
A full-term infant whose parents are Asian with blue-gray sacral discoloration
Question 4 of 5
When preforming an initial assessment on a full-term infant whose parents are Asian, the nurse notes a blue-gray discoloration across the sacrum of the newborn. What is the most appropriate action for the nurse to take?
Correct Answer: B
Rationale: Mongolian spots are normal congenital findings in some ethnic groups, requiring only documentation to distinguish from bruising.
Extract:
A child with a heart defect, weighing 19 pounds
Question 5 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: 0.30 mg/dose
Rationale: Convert 19 pounds to 8.64 kg.
Total daily dose: 0.07 mg/kg/day * 8.64 kg = 0.6048 mg/day. Per dose: 0.6048 mg / 2 = 0.3024 mg, rounded to 0.30 mg.