ATI RN
ATINur2708 Pediatrics Final Exam Questions
Extract:
Client with a cervical spinal cord injury from a fall.
Question 1 of 5
A nurse in the emergency department is monitoring a client who has a cervical spinal cord injury from a fall. The nurse should monitor the client for which of the following complications?
Correct Answer: A,B,C,E
Rationale: A: Hypotension occurs in neurogenic shock from cervical injuries. B: Hyperthermia results from impaired temperature regulation. C: Weakened gag reflex increases aspiration risk. E: Absence of bowel sounds indicates paralytic ileus, a common complication.
Extract:
Question 2 of 5
The nurse is teaching a group of parents about signs of depression in adolescents. Which statement by a parent indicates the need for further education?
Correct Answer: A
Rationale: A: Preferring friends over family is typical adolescent behavior and not a sign of depression, indicating the parent needs further education. B, C, D are all potential signs of depression (weight changes, excessive sleep, poor school performance).
Extract:
Adolescent with blunt trauma to the abdomen.
Question 3 of 5
A nurse is assessing an adolescent who experienced blunt trauma to the abdomen. Which of the following findings is the nurse's priority?
Correct Answer: A
Rationale: A: Low blood pressure (89/50 mm Hg) suggests hypovolemic shock, a critical priority requiring immediate intervention.
Extract:
Adolescent with congestive heart failure, taking digoxin daily, refused breakfast, complaining of nausea and weakness.
Question 4 of 5
A nurse is caring for an adolescent client who has congestive heart failure and is taking digoxin daily. The client refused breakfast and is complaining of nausea and weakness. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: C: Checking vital signs is the priority to assess for digoxin toxicity, which can cause nausea and weakness.
Extract:
Child with hemiplegic cerebral palsy.
Question 5 of 5
A home health nurse is developing a plan of care for a child who has hemiplegic cerebral palsy. Which of the following goals is the priority for the nurse to include in the plan of care?
Correct Answer: A
Rationale: A: Modifying the environment ensures safety and accessibility, critical for a child with hemiplegia to prevent falls or injuries, making it the priority.