ATI RN
ATINur2708 Pediatrics Final Exam Questions
Extract:
Adolescent girl, 16 years old, post-spinal instrumentation surgery.
Question 1 of 5
An adolescent girl has spinal instrumentation surgery at 16 years of age. Immediately after this procedure, the nurse would teach her to:
Correct Answer: B
Rationale: B: Log rolling maintains spinal alignment, preventing strain on the surgical site.
Extract:
1-year-old child with Down syndrome, parent concerned about delayed walking.
Question 2 of 5
The clinic nurse talks with the parent of a child with Down syndrome. The parent states, 'I thought my 1-year-old would be walking by now. I am concerned.' What response by the nurse is best?
Correct Answer: A
Rationale: A: Explaining that developmental delays are common in Down syndrome addresses the parent's concern directly and reassuringly.
Extract:
Adolescent with spina bifida, paralyzed from the waist down.
Question 3 of 5
A nurse is caring for an adolescent who has spina bifida and is paralyzed from the waist down. Which of the following statements by the client should indicate to the nurse a need for further teaching?
Correct Answer: B
Rationale: B: Catheterizing only twice daily is insufficient, increasing the risk of urinary tract infections; typically, it's needed 4-6 times daily, indicating a need for further teaching.
Extract:
13-year-old adolescent after a near-drowning/submersion event, coughing, difficulty breathing, O2 saturation 90% on room air, RR 26/min, HR 102/min.
Question 4 of 5
A 13 year old adolescent is brought to the Emergency Department after a near-drowning/submersion event. The child is coughing and having difficulty breathing. O2 saturation is 90% in room air, RR=26/min, HR=102/min. What is the priority intervention for the nurse to take?
Correct Answer: D
Rationale: D: Administering oxygen addresses hypoxemia, the priority in respiratory distress post-near-drowning.
Extract:
Child having a seizure.
Question 5 of 5
A nurse is caring for a child who is having a seizure. Which of the following actions should the nurse take?
Correct Answer: A,D,E
Rationale: A: Assessing airway patency ensures breathing during a seizure. D: Side-lying position prevents aspiration. E: Removing objects prevents injury.