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ATI Nur235 Pediatrics Final Exam Questions

Extract:

Child with HIV reviewing immunization schedule.


Question 1 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.

Extract:

School-age client with new diagnosis of type 1 diabetes mellitus.


Question 2 of 5

A nurse is providing teaching to a school-age client who has a new diagnosis of type 1 diabetes mellitus. Which statement by the client indicates an understanding of the teaching?

Correct Answer: B

Rationale: Eating a snack before activity prevents hypoglycemia, showing understanding of diabetes management.

Extract:

Pediatric client with hemophilia.


Question 3 of 5

The nurse analyzes the laboratory results of a pediatric client with hemophilia. The nurse understands which result will most likely be abnormal in this client?

Correct Answer: A

Rationale: Prolonged partial thromboplastin time is typical in hemophilia due to deficient clotting factors.

Extract:

School-aged child with a newly placed ventriculoperitoneal (VP) shunt.


Question 4 of 5

The nurse has taught the parents of a school-aged child with a newly placed ventriculoperitoneal (VP) shunt to monitor for early signs of shunt malfunction. The nurse determines the parents understand the instructions if they understand they should notify the provider if the child develops which early manifestation?

Correct Answer: A

Rationale: Lethargy is an early sign of increased intracranial pressure from shunt malfunction, requiring immediate attention.

Extract:

4-year-old admitted with acute diarrhea and dehydration.


Question 5 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.

Similar Questions

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?
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?
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?
A nurse is providing discharge instructions to the parent of a 10-year-old client following cardiac catheterization. Which instruction should the nurse include in the teaching?
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?

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