ATI RN
ATI Nur235 Pediatrics Final Exam Questions
Extract:
4-year-old client with swollen abdomen, suspected Wilms tumor.
Question 1 of 5
The mother of a 4-year-old client tells the pediatric nurse that the child's abdomen seems to be swollen. During further assessment, the mother tells the nurse that their child is eating well and that their activity level is unchanged. The nurse, suspecting the possibility of Wilms tumor, should avoid which action during the physical assessment?
Correct Answer: D
Rationale: Palpating the abdomen in suspected Wilms tumor risks tumor rupture and spreading cancerous cells.
Extract:
5-year-old girl with a urinary tract infection (UTI).
Question 2 of 5
A 5-year-old girl presents to the clinic with a urinary tract infection (UTI). After educating the family on preventing recurrent infections, what statement by the family indicates further teaching is needed?
Correct Answer: D
Rationale: Further testing may be needed for recurrent UTIs to ensure resolution and investigate underlying causes, indicating a need for more education.
Extract:
4-year-old client with drooling, agitation, and inability to cough.
Question 3 of 5
A 4-year-old client presents to the emergency department with drooling, agitation, and inability to cough. The nurse should recognize these findings are associated with which diagnosis?
Correct Answer: D
Rationale: Bacterial epiglottitis is characterized by drooling, agitation, and inability to cough, indicating a life-threatening airway obstruction.
Extract:
17-year-old female seeking rubella immunization.
Question 4 of 5
A 17-year-old well-female has come to the clinic to get a rubella immunization that is required by the college she plans to attend. Before administering this immunization, the client should have which screening or test?
Correct Answer: C
Rationale: A pregnancy test is necessary as rubella vaccine, a live vaccine, could harm a fetus.
Extract:
Newborn admitted to rule out congenital hypothyroidism.
Question 5 of 5
A newborn is admitted to the pediatric unit to rule out congenital hypothyroidism. Which of the following findings would the nurse expect if this diagnosis is confirmed?
Correct Answer: A
Rationale: Bradycardia, constipation, and hypotonia are symptoms of congenital hypothyroidism due to reduced metabolism from low thyroid hormone levels.