ATI RN
ATINur2708 Pediatrics Final Exam Questions
Extract:
Child with juvenile idiopathic arthritis.
Question 1 of 5
The physician of a child with juvenile idiopathic arthritis asks the nurse to telephone the school to arrange a new activity program for her. A change the nurse would anticipate arranging for the child is to:
Correct Answer: B
Rationale: B: Modifying the exercise program accommodates joint health, allowing safe participation in activities.
Extract:
5-month-old infant scheduled for a lumbar puncture to rule out meningitis.
Question 2 of 5
A nurse is planning care for a 5-month-old infant who is scheduled for a lumbar puncture to rule out meningitis. Which of the following actions should the nurse include in the plan of care?
Correct Answer: B
Rationale: B: Flexing the chin and knees opens the spinal canal, facilitating a safe lumbar puncture.
Extract:
12-year-old client with an ankle sprain.
Question 3 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:
12-month-old child diagnosed with congenital cerebral palsy.
Question 4 of 5
A parent brings a 12-month-old child diagnosed with congenital cerebral palsy to the clinic. The nurse completes an assessment. Which assessment finding does the nurse determine needs immediate intervention?
Correct Answer: B
Rationale: B: Suspected failure to thrive indicates potential nutritional or health issues, requiring immediate intervention.
Extract:
11-month-old infant reportedly fell down a flight of stairs from the porch to the sidewalk. CT scan shows small subdural hematoma. Admit for close observation. Vital Signs Admission: Axillary temperature 37.1° C (98.8° F), Apical heart rate 104/min, Respiratory rate 26/min, Oxygen saturation 98% on room air. 4 hr later: Axillary temperature 38.2° C (100.8° F), Apical heart rate 124/min, Respiratory rate 22/min, Oxygen saturation 96% on room air. Nurses' Notes Admission note: Infant alert and fussy in guardian's arms. Moves all extremities. Edema and ecchymosis noted on left side of scalp. Anterior fontanel level and soft. Pupils equal and react briskly to light. 4 hr later: Infant sleeping in guardian's arms. Guardian reports they are unable to wake the infant to feed them. Infant slept through vital sign assessment.
Question 5 of 5
A nurse is caring for an infant in the emergency department. Which of the following actions should the nurse take?
Correct Answer: A,B,C,E
Rationale: A: Stabilizing the spine is critical due to the fall, which poses a risk of spinal injury. B: Palpating the fontanel monitors for increased intracranial pressure, especially with a hematoma. C: Assessing pupillary reaction evaluates neurological status, crucial given the infant's unresponsiveness. E: Measuring head circumference tracks potential swelling from the hematoma. D is incorrect as feeding an unresponsive infant risks aspiration. F is less urgent compared to other actions.