ATI RN
ATINur2708 Pediatrics Final Exam Questions
Extract:
Child with several bruises noted during assessment.
Question 1 of 5
A nurse is assessing a child and notes several bruises. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: A: Obtaining a detailed history is the first step to understand the cause of the bruises, guiding whether further action like reporting abuse is needed.
Extract:
School-age child with type 1 diabetes mellitus.
Question 2 of 5
A nurse is teaching a school-age child who has type 1 diabetes mellitus and their parents about management during an illness. Which of the following instructions should the nurse include?
Correct Answer: A,E
Rationale: A: Fluids with carbohydrates maintain blood glucose levels when solid foods aren't tolerated. E: Testing for ketones monitors for diabetic ketoacidosis risk during illness. B, C, D, F are incorrect as protein testing isn't relevant, sugar-free fluids risk hypoglycemia, carbs shouldn't be limited, and insulin must not be withheld.
Extract:
School-age child involved in a motor-vehicle crash. Vital Signs 1845: Temperature 37.2°C (99.9°F), Pulse rate 95/min, Respiratory rate 25/min, Blood pressure 112/68 mm Hg, Oxygen saturation 95% room air. 2125: Temperature 37.1°C (98.8°F), Pulse rate 94/min, Respiratory rate 23/min, Blood pressure 110/64 mm Hg, Oxygen saturation 93% room air.
Question 3 of 5
Complete the following sentence by using the list of options. The child is at highest risk for developing evidenced by the client's
Correct Answer: A,B
Rationale: A: Pulmonary embolism is a risk post-trauma due to immobility. B: Declining oxygen saturation (95% to 93%) suggests respiratory compromise, a potential sign of embolism.
Extract:
Child in skeletal traction.
Question 4 of 5
Which of the following actions should the nurse take when caring for a child in skeletal traction?
Correct Answer: E,F,G
Rationale: E: Neurovascular assessments detect complications like compartment syndrome. F: Monitoring for infection is critical at the traction site. G: Pain medication ensures comfort, supporting recovery.
Extract:
5-month-old infant scheduled for a lumbar puncture to rule out meningitis.
Question 5 of 5
A nurse is planning care for a 5-month-old infant who is scheduled for a lumbar puncture to rule out meningitis. Which of the following actions should the nurse include in the plan of care?
Correct Answer: B
Rationale: B: Flexing the chin and knees opens the spinal canal, facilitating a safe lumbar puncture.