Questions 64

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ATI Nur235 Pediatrics Final Exam Questions

Extract:

4-year-old client undergoing developmental assessment.


Question 1 of 5

A nurse is performing a developmental assessment on a 4-year-old client. What assessment finding would warrant further investigation?

Correct Answer: D

Rationale: Speaking in 2-3 word sentences is typical for a 2-year-old, not a 4-year-old, who should use complex sentences, indicating a need for further investigation.

Extract:

Pediatric client with newly diagnosed hyperthyroidism.


Question 2 of 5

The nurse should instruct the family of a pediatric client with newly diagnosed hyperthyroidism to expect which of the following symptoms?

Correct Answer: C

Rationale: Weight loss is common in hyperthyroidism due to increased metabolic rate.

Extract:

4-year-old admitted with acute diarrhea and dehydration.


Question 3 of 5

A nurse is caring for a 4-year-old who was admitted with acute diarrhea and dehydration. Which finding indicates that oral rehydration therapy has been effective?

Correct Answer: C

Rationale: A urine specific gravity of 1.015 within the normal range indicates adequate hydration, showing effective rehydration therapy.

Extract:

Pediatric client with diabetes insipidus treated with vasopressin.


Question 4 of 5

A pediatric client with diabetes insipidus (DI) is being treated with vasopressin. The nurse would assess the client closely for signs and symptoms of which condition?

Correct Answer: D

Rationale: Vasopressin can cause water retention, mimicking SIADH, requiring close monitoring for hyponatremia.

Extract:

Pediatric client with leukemia receiving chemotherapy, platelets 19,500/mcl, hemoglobin 11 g/dL, WBC 9,800/mcl.


Question 5 of 5

The nurse analyzes the laboratory values of a pediatric client with leukemia who is receiving chemotherapy. The nurse notes the following lab values: platelets 19,500/mcl (nl. 140,000-400,000/mcL), hemoglobin 11 g/dL (nl. 12-16 g/dL), white blood cell count 9,800/mcl (nl. 5,000-10,000/mcL). Based on these findings, which intervention should the nurse prioritize in the plan of care?

Correct Answer: D

Rationale: A critically low platelet count (19,500/mcl) increases bleeding risk, making bleeding precautions the priority.

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