ATI RN
ATINur2708 Pediatrics Final Exam Questions
Extract:
5-month-old infant scheduled for a lumbar puncture to rule out meningitis.
Question 1 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.
Extract:
Infant being treated for hydrocephalus with a ventriculoperitoneal (VP) shunt.
Question 2 of 5
The nurse provides education to the parent of an infant being treated for hydrocephalus with a ventriculoperitoneal (VP) shunt. Which statement by the parent indicates the need for further instruction?
Correct Answer: B
Rationale: B: Stating the shunt is the only surgery needed is incorrect, as revisions or replacements may be required, indicating a need for further teaching.
Extract:
6-year-old client diagnosed with attention deficit/hyperactivity disorder (ADHD).
Question 3 of 5
The nurse is working closely with the parent of a 6-year-old client who was just diagnosed with attention deficit/hyperactivity disorder (ADHD). Which methods used in behavior modification would be appropriate for this child?
Correct Answer: A,B,D
Rationale: A: Short, clear explanations reduce confusion for ADHD children. B: Consistent rules provide stability. D: A structured environment minimizes distractions.
Extract:
1-year-old child with Down syndrome, parent concerned about delayed walking.
Question 4 of 5
The clinic nurse talks with the parent of a child with Down syndrome. The parent states, 'I thought my 1-year-old would be walking by now. I am concerned.' What response by the nurse is best?
Correct Answer: A
Rationale: A: Explaining that developmental delays are common in Down syndrome addresses the parent's concern directly and reassuringly.
Extract:
3-week-old child with bilateral clubfoot, increasingly irritable, bilateral leg casts, pallor and coolness of left foot.
Question 5 of 5
The home care nurse is assessing a 3 week old child with history of bilateral clubfoot noted at birth. The mother reports that the infant has been increasingly irritable in the last day. Assessment findings include: bilateral leg casts in place, child is irritable; pallor and coolness of left foot is noted. What is the nurse's priority action?
Correct Answer: C
Rationale: C: Pallor and coolness suggest compromised circulation, requiring urgent evaluation to prevent tissue damage.