ATI RN
ATI Nurs 150 Pediatric Final Exam 0924 Cohort Questions
Extract:
A child who has cystic fibrosis (CF)
Question 1 of 5
A nurse is providing discharge teaching about nutrition to the parents of a child who has cystic fibrosis (CF). Which of the following responses by the parents indicates an understanding of the teaching?
Correct Answer: A
Rationale: Pancreatic enzymes are essential for nutrient absorption in CF due to pancreatic insufficiency. Salt restriction is inappropriate as CF patients lose more salt in sweat, fluid restriction can worsen mucus consistency, and low-fat/low-protein diets are not suitable due to high energy needs.
Extract:
A 1-year-old toddler with a large abdominal mass and pink-tinged urine
Question 2 of 5
A nurse is assessing a 1-year-old toddler notices a large abdominal mass and pink-tinged urine on the diaper. Which of the following disorders should the nurse suspect?
Correct Answer: A
Rationale: Wilms’ tumor commonly presents with an abdominal mass and hematuria (pink urine). Intussusception causes bloody stools, nephritic syndrome involves hypertension, and pyloric stenosis causes vomiting.
Extract:
A child on the oncology unit
Question 3 of 5
A nurse is caring for a child on the oncology unit. The child's parents are asking the nurse about the cancer diagnosis. Which of the following information should the nurse provide the parents about the most common malignant renal and intra-abdominal tumor of childhood?
Correct Answer: D
Rationale: Wilms’ tumor is the most common malignant renal and intra-abdominal tumor in children, often presenting as an abdominal mass. Neuroblastoma, Ewing sarcoma, and osteosarcoma are less common in this context.
Extract:
A child who has streptococcal pharyngitis
Question 4 of 5
A nurse is providing teaching to the parents of a child who has streptococcal pharyngitis about ways to prevent disease transmission. Which of the following responses by the parents indicates an understanding of the teaching?
Correct Answer: D
Rationale: Discarding the toothbrush prevents reinfection or transmission of streptococcal bacteria. Other options are supportive but not transmission-focused.
Extract:
A toddler with several bruises
Question 5 of 5
A nurse is bathing a toddler and notices that she has several bruises. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Notifying the provider first allows for a medical evaluation to assess if the bruises indicate abuse or a medical condition, guiding further actions.