ATI RN
ATI Nur235 Pediatrics Final Exam Questions
Extract:
School-age child with juvenile idiopathic arthritis (JIA).
Question 1 of 5
A nurse is providing discharge instructions to a parent and their school-age child who has juvenile idiopathic arthritis (JIA). What should the nurse include in the discharge instructions to the family?
Correct Answer: A
Rationale: Notifying the provider if NSAIDs are ineffective ensures timely escalation to other treatments like DMARDs.
Extract:
School-aged child with a newly placed ventriculoperitoneal (VP) shunt.
Question 2 of 5
The nurse has taught the parents of a school-aged child with a newly placed ventriculoperitoneal (VP) shunt to monitor for early signs of shunt malfunction. The nurse determines the parents understand the instructions if they understand they should notify the provider if the child develops which early manifestation?
Correct Answer: A
Rationale: Lethargy is an early sign of increased intracranial pressure from shunt malfunction, requiring immediate attention.
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:
Newborn with suspected tricuspid atresia.
Question 4 of 5
A nurse is caring for a newborn who was recently delivered. Which of the following clinical signs would cause the nurse to suspect tricuspid atresia?
Correct Answer: A
Rationale: Profound cyanosis is a key sign of tricuspid atresia due to poor blood oxygenation from the absent tricuspid valve.
Extract:
Pediatric client with nephrotic syndrome.
Question 5 of 5
In caring for a pediatric client with nephrotic syndrome, which intervention should be included in the plan of care?
Correct Answer: B
Rationale: Daily weighing on the same scale monitors fluid status, critical for managing nephrotic syndrome.