ATI RN
ATI Nur235 Pediatrics Final Exam Questions
Extract:
13-year-old 2 days post-operative from laparoscopic appendectomy, 37.1°C, pain 3/10, diminished breath sounds in lower lobes.
Question 1 of 5
The nurse is caring for a 13-year-old who is 2 days post-operative from a laparoscopic appendectomy. Upon assessment, the nurse notes the following vital signs: 37,1°C (98.8°F), a pain rating of 3 out of 10, and breath sounds are diminished in the lower lobes. What action should the nurse take first?
Correct Answer: D
Rationale: Incentive spirometry improves lung expansion, addressing diminished breath sounds and preventing atelectasis.
Extract:
4-year-old admitted with acute diarrhea and dehydration.
Question 2 of 5
A nurse is caring for a 4-year-old who was admitted with acute diarrhea and dehydration. Which finding indicates that oral rehydration therapy has been effective?
Correct Answer: C
Rationale: A urine specific gravity of 1.015 within the normal range indicates adequate hydration, showing effective rehydration therapy.
Extract:
Pediatric client with diabetes insipidus treated with vasopressin.
Question 3 of 5
A pediatric client with diabetes insipidus (DI) is being treated with vasopressin. The nurse would assess the client closely for signs and symptoms of which condition?
Correct Answer: D
Rationale: Vasopressin can cause water retention, mimicking SIADH, requiring close monitoring for hyponatremia.
Extract:
Toddler with iron-deficiency anemia taking iron supplements.
Question 4 of 5
A nurse is providing teaching to the parents of a toddler who has iron-deficiency anemia and is taking iron supplements. Which statement by the parents indicates an understanding of the teaching?
Correct Answer: C
Rationale: Routine blood count monitoring is essential to evaluate the effectiveness of iron supplementation and adjust dosages.
Extract:
Child with HIV reviewing immunization schedule.
Question 5 of 5
The nurse is reviewing the immunization schedule with the parent of a child who is positive for human immunodeficiency virus (HIV). What statement by the parents indicates that teaching has been effective?
Correct Answer: A
Rationale: Withholding the varicella vaccine during symptomatic HIV illness prevents complications due to compromised immunity.