ATI RN
ATI Nur209 Pediatrics Final Assessment 2025 Questions
Extract:
A newborn's parent
Question 1 of 5
A nurse is teaching a newborn's parent to care for the umbilical cord stump. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: A sponge bath keeps the umbilical cord stump dry, preventing infection and promoting detachment. Petroleum jelly, soap, or covering with a diaper increases infection risk.
Extract:
A laboring client with ruptured membranes, frequent contractions, bloody show
Question 2 of 5
The nurse is caring for a laboring client who presents with ruptured membranes, frequent contractions, and bloody show. Which intervention should be performed first?
Correct Answer: D
Rationale: Obtaining fetal heart rate is the priority to assess fetal well-being after membrane rupture, ensuring no cord prolapse or distress.
Extract:
A child with sickle cell anemia post-crisis
Question 3 of 5
A nurse is discharging a child who has sickle cell anemia after an acute crisis episode. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: Adequate hydration reduces blood viscosity, preventing vaso-occlusive crises in sickle cell anemia.
Extract:
A newborn with a spiral fracture of the right femur
Question 4 of 5
A newborn is admitted with a diagnosis of a spiral fracture of the right femur. The mother states the child received the injury when the baby fell off the changing table. Which would be the priority nursing intervention?
Correct Answer: D
Rationale: Spiral fractures in non-ambulatory infants are highly suggestive of abuse, requiring immediate reporting to the child abuse hotline.
Extract:
A child with a heart defect, weighing 19 pounds
Question 5 of 5
A child with a heart defect has been prescribed a maintenance dose of Lanoxin elixir at 0.07 mg/kg/day, divided into two doses. The child weighs 19 pounds. What is the maximum dose of medication the nurse should administer in each dose?
Correct Answer: 0.30 mg/dose
Rationale: Convert 19 pounds to 8.64 kg.
Total daily dose: 0.07 mg/kg/day * 8.64 kg = 0.6048 mg/day. Per dose: 0.6048 mg / 2 = 0.3024 mg, rounded to 0.30 mg.