ATI RN
ATI Nur235 Pediatrics Final Exam Questions
Extract:
Newborn with phenylketonuria (PKU).
Question 1 of 5
The caregiver whose newborn was newly diagnosed with phenylketonuria (PKU) has questions about the disorder. Which statement made by the nurse is correct regarding PKU?
Correct Answer: B
Rationale: Untreated PKU leads to severe cognitive deficits due to phenylalanine accumulation, preventable with early treatment.
Extract:
6-week-old infant with forceful vomiting after feedings, emesis landing 3-4 feet away, fussy, rooting, and sucking vigorously.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: B,C,D
Rationale: B: Symptoms suggest pyloric stenosis, requiring surgical correction. C: FLACC scale assesses pain in fussy infants. D: Monitoring intake/output evaluates dehydration risk.
Extract:
Pediatric client diagnosed with pyloric stenosis.
Question 3 of 5
The nurse is reviewing the record of a pediatric client diagnosed with pyloric stenosis. Which assessment finding would the nurse expect to find in the electronic health record?
Correct Answer: A
Rationale: Projectile vomiting is a hallmark of pyloric stenosis due to obstruction by the thickened pylorus muscle.
Extract:
Pediatric client with leukemia receiving chemotherapy, platelets 19,500/mcl, hemoglobin 11 g/dL, WBC 9,800/mcl.
Question 4 of 5
The nurse analyzes the laboratory values of a pediatric client with leukemia who is receiving chemotherapy. The nurse notes the following lab values: platelets 19,500/mcl (nl. 140,000-400,000/mcL), hemoglobin 11 g/dL (nl. 12-16 g/dL), white blood cell count 9,800/mcl (nl. 5,000-10,000/mcL). Based on these findings, which intervention should the nurse prioritize in the plan of care?
Correct Answer: D
Rationale: A critically low platelet count (19,500/mcl) increases bleeding risk, making bleeding precautions the priority.
Extract:
Preadolescent client with curvature of the spine.
Question 5 of 5
While assessing a preadolescent client, the nurse notes curvature of the client's spine. Which statement by the parent supports this observation?
Correct Answer: B
Rationale: Difficulty fitting pants evenly suggests scoliosis-related hip asymmetry, supporting the observation of spinal curvature.