ATI RN
ATI Nur 223a Sect 4 Pediatrics Final Exam Questions
Extract:
Parents of a toddler about child development.
Question 1 of 5
A nurse is providing anticipatory guidance about child development to the parents of a toddler. Which of the following developmental tasks should the nurse include as expected of a toddler?
Correct Answer: D
Rationale: Separating easily from caregivers indicates developing independence.
Extract:
2-month-old infant following a surgical procedure.
Question 2 of 5
A nurse is planning care for a 2-month-old infant following a surgical procedure. Which of the following pain rating scales should the nurse plan to use to determine the infant's level of pain?
Correct Answer: A
Rationale: FLACC scale is suitable for assessing pain in infants.
Extract:
5-year-old child has a cardiac catheterization via the femoral artery.
Question 3 of 5
A 5-year-old child has a cardiac catheterization via the femoral artery. Which assessment would be most important to complete after the procedure?
Correct Answer: D
Rationale: Checking pedal pulses ensures adequate blood flow post-catheterization.
Extract:
Nurses Notes (0700 hrs): Client presents to the ED with guardian. Client reports that they began having pain around their “belly button†the previous evening around 2100. Reports that pain is now in right lower quadrant and became worse earlier this morning. Reports nausea. Abdomen soft with tenderness to palpation in right lower quadrant. Bowel sounds positive in all four quadrants. Verbalizes increase in pain when right hip is flexed and rotated internally. Rates pain as 6 on a 0 to 10 pain scale. Notified provider of client's arrival and assessment data. Prescriptions received. Vital Signs (0700 hrs): Temperature: 37.7°C (99.9°F), Pulse rate: 98/min, Respiratory rate: 22/min, Blood pressure: 124/64 mm Hg, Oxygen saturation: 99% on room air. Diagnostic Results (0700 hrs): CBC and C-Reactive Protein drawn and sent to lab. Nurses Notes (0800 hrs): Client continues to report right lower quadrant pain, now rated as 7 on a 0 to 10 pain scale. Reports increased nausea and has vomited once. Abdomen remains soft with increased tenderness in the right lower quadrant. Bowel sounds remain positive in all four quadrants. Client appears more uncomfortable and is guarding the right lower quadrant. Notified provider of client's status and updated assessment data. Vital Signs (0800 hrs): Temperature: 38.1°C (100.6°F), Pulse rate: 102/min, Respiratory rate: 24/min, Blood pressure: 126/68 mm Hg, Oxygen saturation: 98% on room air. Diagnostic Results (0800 hrs): WBC count: 22,000/mm³, RBC count: 4.5 million/mm³, Hgb: 14 g/dL, Hct: 44%, Platelets: 350,000/mm³, C-Reactive Protein: 11.8 mg/dL.
Question 4 of 5
The nurse has notified the provider of the client's 0800 assessment data and lab results. Which of the following prescriptions should the nurse anticipate?
Correct Answer: B,D,E,F
Rationale:
Choice A: Promethazine is an antiemetic but does not address appendicitis.
Choice B: Consent for surgery is needed for appendectomy.
Choice C: Acetaminophen does not treat the cause.
Choice D: IV antibiotics prevent infection.
Choice E: NPO status prepares for surgery.
Choice F: Ultrasound confirms appendicitis.
Choice G: Enemas could worsen the condition.
Extract:
6-year-old child who has bacterial meningitis.
Question 5 of 5
A nurse is planning care for a 6-year-old child who has bacterial meningitis. Which of the following nursing interventions is unnecessary in the client's plan of care?
Correct Answer: A
Rationale: Measuring head circumference is unnecessary in a 6-year-old, as it is relevant for infants to monitor intracranial pressure.