ATI RN
ATINur2708 Pediatrics Final Exam Questions
Extract:
Adolescent with spina bifida, paralyzed from the waist down.
Question 1 of 5
A nurse is caring for an adolescent who has spina bifida and is paralyzed from the waist down. Which of the following statements by the client should indicate to the nurse a need for further teaching?
Correct Answer: B
Rationale: B: Catheterizing only twice daily is insufficient, increasing the risk of urinary tract infections; typically, it's needed 4-6 times daily, indicating a need for further teaching.
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:
8-year-old child with sickle cell disease, prescribed hydroxyurea 20 mg/kg per dose, weighs 55 lb.
Question 3 of 5
A health care provider has prescribed hydroxyurea 20 mg/kg per dose by mouth to an 8 year old child as part of a treatment regimen for sickle cell disease. This is a safe dose. The child weighs 55 lb. How many milligrams should the nurse administer? Enter only the number.
Correct Answer: A
Rationale: Weight: 55 lb/ 2.2 = 25 kg. Dose: 25 kg x 20 mg/kg = 500 mg. Correct answer: A (500 mg).
Extract:
Clinical manifestations of acromegaly.
Question 4 of 5
Clinical manifestations of acromegaly include:
Correct Answer: A,B,C,F
Rationale: A: Skin tags develop due to hormonal changes. B: Voice softening occurs from vocal cord enlargement. C: Muscle weakness results from hormonal effects. F: Soft tissue swelling is caused by excess growth hormone.
Extract:
Family experiencing anticipatory grief related to their child's imminent death.
Question 5 of 5
The nurse is providing support to a family who is experiencing anticipatory grief related to their child's imminent death. Which of the following is an appropriate nursing intervention?
Correct Answer: D
Rationale: D: Being available provides emotional support, respecting the family's grief process.