ATI RN
ATI Nur209 Pediatrics Final Assessment 2025 Questions
Extract:
A client who has just delivered, with Rh incompatibility
Question 1 of 5
A nurse is caring for a client who has just delivered her first newborn. The nurse anticipates hyperbilirubinemia due to Rh incompatibility. The nurse should understand that hyperbilirubinemia occurs with Rh incompatibility for which of the following reasons?
Correct Answer: D
Rationale: An Rh-negative mother produces anti-Rh antibodies that cross the placenta, causing hemolysis in an Rh-positive newborn, leading to hyperbilirubinemia.
Extract:
A full-term infant whose parents are Asian with blue-gray sacral discoloration
Question 2 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 client who is 36 weeks' gestation
Question 3 of 5
The nurse identifies the following assessment findings in a client who is 36 weeks' gestation. Which should be immediately reported to the provider?
Correct Answer: A
Rationale: Hypertension (>140/90 mmHg) at 36 weeks may indicate preeclampsia, requiring immediate reporting. Other findings are normal or non-urgent in pregnancy.
Extract:
A 2-year-old child with cystic fibrosis
Question 4 of 5
The nurse is preparing a 2-year-old child with cystic fibrosis for discharge home. Which statement made by the parents suggests that additional education is necessary?
Correct Answer: C
Rationale: Pancreatic enzymes are required for cystic fibrosis due to pancreatic insufficiency, regardless of appetite or bowel movements, indicating a need for further education.
Extract:
A menopausal woman who opts not to use hormone therapy
Question 5 of 5
When advising a menopausal woman who opts not to use hormone therapy, which self-care measure should be emphasized as the most important?
Correct Answer: D
Rationale: Weight-bearing exercises (e.g., walking, strength training) help maintain bone density and reduce the risk of osteoporosis in menopausal women, which is critical due to decreased estrogen levels.