Questions 49

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ATI Custom Pediatrics Comprehensive Exam Questions

Extract:

Young mother with new baby


Question 1 of 5

A young mother confides in the nurse that her husband does not want her to give so much attention to their new baby for fear that the child will become spoiled. The nurse's best response would be

Correct Answer: C

Rationale: Interaction fosters trust, supporting healthy emotional development in infants, contrary to spoiling concerns.

Extract:

1-year-old weighing 22 pounds post-open heart surgery


Question 2 of 5

The nurse caring for a 22-pound 1-year-old child who has had open heart surgery is aware that the minimum acceptable urine output for the child

Correct Answer: B

Rationale: For a 22-pound (10 kg) child, minimum urine output is 1 mL/kg/hour, equaling 10 mL/hour, making 8 mL/hour acceptable but low, warranting monitoring.

Extract:

Neonate with anterior fontanel


Question 3 of 5

The nervous parent asks when the big 'soft spot' (anterior fontanel) will be closed. The nurse's most informative response would be

Correct Answer: C

Rationale: The anterior fontanel typically closes between 12 and 18 months, providing parents with an accurate timeline while acknowledging normal developmental variability.

Extract:

10-year-old sibling of a child with a complex chronic condition


Question 4 of 5

To meet the social support needs of a 10-year-old sibling of a child with a complex chronic condition, the most appropriate nursing action is to

Correct Answer: C

Rationale: Answering questions honestly reduces anxiety and supports understanding, meeting the sibling's emotional needs.

Extract:

Child with a fracture of the femur near the epiphyseal plate


Question 5 of 5

A school-aged child with a fracture of the femur near the epiphyseal plate is admitted to the hospital. The parents ask if there will be any after effects when the bone heals. Which physiological characteristic of the femur should the nurse consider when preparing to respond?

Correct Answer: A

Rationale: A fracture near the epiphyseal plate may disrupt the growth plate, potentially affecting leg growth, unlike other listed concerns.

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