ATI RN
ATI Nur209 Pediatrics Final Assessment 2025 Questions
Extract:
A client experiencing menopausal symptoms
Question 1 of 5
A nurse is caring for a client who is experiencing menopausal symptoms and asks the nurse about menopausal hormone therapy (HT). The nurse should inform the client that HT is contradicted due to which of the following findings in the client's medical history?
Correct Answer: A
Rationale: Estrogen therapy is contraindicated in breast cancer history due to increased recurrence risk, unlike COPD, dermatitis, or GERD.
Extract:
An infant post-atrial septal defect repair
Question 2 of 5
The nurse is caring for an infant following the surgical repair of an atrial septal defect. Which nursing interventions are appropriate for this infant? (Select All that Apply.)
Correct Answer: B,C,D,E
Rationale: Appropriate interventions include maintaining a thermoneutral environment, encouraging bonding, measuring intake/output, and ensuring rest. Incentive spirometry is not feasible for infants.
Extract:
A pregnant patient
Question 3 of 5
Which statement made by a pregnant patient indicates teaching was effective related to an elevated alpha fetoprotein (AFP) level?
Correct Answer: D
Rationale: Elevated AFP suggests an increased risk of neural tube defects like spina bifida, requiring further testing. It's not definitive, and low AFP is linked to Down syndrome.
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 5-year-old child postoperative following a tonsillectomy
Question 5 of 5
A nurse is caring for a 5-year-old child who is postoperative following a tonsillectomy. Which of the following pain scales should the nurse use to determine the child's pain level?
Correct Answer: B
Rationale: The FACES scale is appropriate for a 5-year-old, allowing them to express pain visually, unlike FLACC (for non-verbal) or VAS (for older children).