ATI RN
ATI Nurs 243 Pediatrics Exam Questions
Extract:
A child diagnosed with a Wilm's tumor.
Question 1 of 5
For a child diagnosed with a Wilm's tumor. The nurse recognizes that which of the following is MOST important intervention when planning care for this child?
Correct Answer: A
Rationale: Avoiding further palpation of the abdomen is crucial to prevent rupture of the tumor and potential spread of cancer cells.
Extract:
An infant with a myelomeningocele.
Question 2 of 5
The nurse understands that in the preoperative period the infant with a myelomeningocele must be placed in which of the following positions?
Correct Answer: D
Rationale: Prone with hips flexed and legs abducted is the best position to avoid pressure on the myelomeningocele sac, prevent trauma, and reduce the risk of infection before surgical repair.
Extract:
A 3-year-old child with congestive heart failure resulting from an underlying congenital heart defect, prescribed digoxin and furosemide.
Question 3 of 5
A 3-year-old child with congestive heart failure resulting from an underlying congenital heart defect, is prescribed digoxin and furosemide. Which of the following assessment findings are MOST concerning?
Correct Answer: C
Rationale: An apical pulse of 70 beats/minute and vomiting are concerning because they may indicate digoxin toxicity. A low heart rate (bradycardia) in a child on digoxin requires immediate attention.
Extract:
A 5-month-old infant scheduled for a lumbar puncture to rule out meningitis.
Question 4 of 5
A nurse is planning care for a 5-month-old infant who is scheduled for a lumbar puncture to rule out meningitis. Which of the following actions is the MOST important for the nurse to include in the plan of care?
Correct Answer: C
Rationale: Holding the infant in the correct position (chin to chest and knees to abdomen) is crucial for obtaining an accurate sample of cerebrospinal fluid and ensuring the procedure is performed safely.
Extract:
A 2-year-old child diagnosed with neuroblastoma.
Question 5 of 5
A 2-year-old child is diagnosed with neuroblastoma. The nurse understands that which of the following tests help to determine the extent of tumor metastasis?
Correct Answer: C
Rationale: A head CT scan is a valuable imaging test that can help determine the extent of tumor metastasis, particularly to the brain or skull.