ATI RN
ATI Nurs 150 Pediatric Final Exam 0924 Cohort Questions
Extract:
A 1-year-old toddler with a large abdominal mass and pink-tinged urine
Question 1 of 5
A nurse is assessing a 1-year-old toddler notices a large abdominal mass and pink-tinged urine on the diaper. Which of the following disorders should the nurse suspect?
Correct Answer: A
Rationale: Wilms’ tumor commonly presents with an abdominal mass and hematuria (pink urine). Intussusception causes bloody stools, nephritic syndrome involves hypertension, and pyloric stenosis causes vomiting.
Extract:
An adolescent who is postoperative following scoliosis repair with Harrington rod instrumentation
Question 2 of 5
A nurse is planning care for an adolescent who is postoperative following scoliosis repair with Harrington rod instrumentation. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: A
Rationale: A 30° head elevation promotes spinal alignment and reduces pressure on the surgical site. Isolation is unnecessary, PCA may not be appropriate, and log rolling is typically done more frequently.
Extract:
A child who has influenza
Question 3 of 5
A nurse is caring for a child who has influenza. The nurse should identify that which of the following statements by the parent indicates the child has an increased risk for Reye syndrome?
Correct Answer: D
Rationale: Aspirin use in children with viral infections like influenza increases Reye syndrome risk. Ibuprofen, juice, and humidifiers are not associated.
Extract:
A child with a suspected diagnosis of Wilms' tumor
Question 4 of 5
A child is admitted with a suspected diagnosis of Wilms' tumor. The nurse should place a sign with which of the following warnings over the child's bed?
Correct Answer: A
Rationale: A 'Do not palpate abdomen' sign prevents tumor rupture, which could spread cancer cells. Other options are not specific to Wilms’ tumor.
Extract:
A 6-year-old child who has bacterial meningitis
Question 5 of 5
A nurse is planning care for a 6-year-old child who has bacterial meningitis. Which of the following nursing interventions is unnecessary in the client's plan of care?
Correct Answer: B
Rationale: Measuring head circumference is unnecessary as closed sutures in a 6-year-old prevent circumference changes from increased intracranial pressure.