ATI RN
ATINur2708 Pediatrics Final Exam Questions
Extract:
30-month-old child during a routine well-child visit.
Question 1 of 5
The nurse is assessing a 30-month-old child during a routine well-child visit. Which statement by the parent would alert the nurse to further assess for learning disorder?
Correct Answer: D
Rationale: The correct answer is D. A 30-month-old child should typically have a vocabulary of more than one or two words. This lack of language development could indicate a possible learning disorder or speech delay. It is important for the nurse to further assess this child's language abilities.
A: Preference for certain toys is normal and not necessarily indicative of a learning disorder.
B: Picky eating habits are common in toddlers and do not necessarily suggest a learning disorder.
C: Restlessness in a restaurant is a common behavior in young children and does not directly relate to a learning disorder.
In summary, the parent's statement in choice D is most concerning as it may signal a potential learning issue, while the other choices are more typical behaviors for a child of this age.
Extract:
Adolescent with congestive heart failure, taking digoxin daily, refused breakfast, complaining of nausea and weakness.
Question 2 of 5
A nurse is caring for an adolescent client who has congestive heart failure and is taking digoxin daily. The client refused breakfast and is complaining of nausea and weakness. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: The correct action for the nurse to take first is to check the client's vital signs (
Choice
C). Vital signs can provide critical information about the client's current condition, including potential complications such as digoxin toxicity, which can manifest as nausea and weakness. Monitoring vital signs can help assess the client's overall stability and guide further interventions. Requesting a dietitian consult (
Choice
A) and suggesting rest before eating (
Choice
D) are important but not the priority in this situation. Requesting an antiemetic (
Choice
B) may address symptoms but does not address the underlying cause. Checking vital signs is the initial step to ensure the client's safety and well-being.
Extract:
1-year-old child with Down syndrome, parent concerned about delayed walking.
Question 3 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: The correct answer is A: "Milestones are often delayed for children with Down Syndrome." This response is best because it acknowledges the parent's concern while providing accurate information about developmental delays commonly seen in children with Down Syndrome. Down Syndrome can impact physical development, causing delays in milestones such as walking. By reassuring the parent that delays are expected and offering support, the nurse addresses the parent's worry and provides appropriate guidance.
Other choices are incorrect because:
B: Refers immediately to physical therapy without addressing the parent's concerns or providing information.
C: Asking about other children is irrelevant to the current situation and does not address the parent's worry.
D: Asking about the child's smiling age is not relevant to the walking milestone concern and does not provide helpful guidance.
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: The correct answer is D: Administer oxygen at 2L/min via face mask. In a near-drowning event, the child is likely experiencing hypoxia due to water entering the lungs. The priority is to ensure adequate oxygenation to prevent further complications. Administering oxygen via face mask at 2L/min will help improve oxygen saturation. Checking capillary refill (
B) and having the child sit upright (
C) are important assessments but not the priority when the child is in respiratory distress. Administering sedation (
A) can potentially depress the respiratory drive further, making the situation worse.
Extract:
13-year-old daughter reporting headaches, grades dropped, sleeping late and going to bed early.
Question 5 of 5
A mother is telling the school nurse about her concerns regarding her 13-year-old daughter, who reports headaches. The child's grades have dropped, and the child is sleeping late and going to bed early every night. Which would the nurse identify as the priority?
Correct Answer: A
Rationale: The correct answer is A: scheduling an immediate history and physical examination. This is the priority because it allows for a comprehensive assessment of the child's physical health, which could be contributing to the headaches and changes in behavior. By conducting a thorough history and physical examination, the nurse can rule out any underlying medical conditions that may be causing or exacerbating the symptoms. The other choices (B, C,
D) focus on psychological or academic aspects without first addressing the potential physical health concerns, making them less appropriate as the initial step.