ATI RN
ATINur2708 Pediatrics Final Exam Questions
Extract:
3-week-old child with bilateral clubfoot, increasingly irritable, bilateral leg casts, pallor and coolness of left foot.
Question 1 of 5
The home care nurse is assessing a 3 week old child with history of bilateral clubfoot noted at birth. The mother reports that the infant has been increasingly irritable in the last day. Assessment findings include: bilateral leg casts in place, child is irritable; pallor and coolness of left foot is noted. What is the nurse's priority action?
Correct Answer: C
Rationale: C: Pallor and coolness suggest compromised circulation, requiring urgent evaluation to prevent tissue damage.
Extract:
12-year-old client with an ankle sprain.
Question 2 of 5
A nurse is discharging a 12 year old client who came to the outpatient clinic with an ankle sprain with their parent. Which of the following statements should the nurse identify as an indication that the client and parent understand the discharge instructions?
Correct Answer: D
Rationale: D: Applying ice for 48 hours reduces swelling and pain, indicating correct understanding of sprain care.
Extract:
Child with several bruises noted during assessment.
Question 3 of 5
A nurse is assessing a child and notes several bruises. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: A: Obtaining a detailed history is the first step to understand the cause of the bruises, guiding whether further action like reporting abuse is needed.
Extract:
Infant weighing 22 pounds, diagnosed with congestive heart failure, prescribed digoxin 5 micrograms/kg/day in 2 divided doses.
Question 4 of 5
A nurse is providing care to an infant diagnosed with congestive heart failure. The health care provider has prescribed digoxin 5 micrograms/kg/day in 2 divided doses. The infant weighs 22 pounds. How many micrograms of digoxin should the nurse administer in each dose? Round your answer to 1 decimal place
Correct Answer: A
Rationale: Weight: 22 lb x 0.453592 = 9.979 kg.
Total dose: 9.979 kg x 5 mcg/kg = 49.895 mcg/day. Each dose: 49.895/ 2 = 24.9475 mcg, rounded to 24.9 mcg. Correct answer: A (24.9 mcg).
Extract:
Adolescent girl, 16 years old, post-spinal instrumentation surgery.
Question 5 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.