ATI RN
ATI Nur209 Pediatrics Final Assessment 2025 Questions
Extract:
A 13-year-old with muscular dystrophy receiving corticosteroids
Question 1 of 5
When caring for a 13-year-old with muscular dystrophy receiving corticosteroids to slow disease progression, which of the following medication side effects would you assess for? (Select All that Apply.)
Correct Answer: B,C,D
Rationale: Corticosteroids can cause mood swings, anxiety, irritability, increased appetite leading to weight gain, and reduced bone density increasing fracture risk. Chronic fatigue is more related to the disease itself, and weight loss is unlikely as corticosteroids typically cause weight gain.
Extract:
An infant or child in heart failure
Question 2 of 5
Which assessment findings would alert the nurse to an infant or child in heart failure? (Select All that Apply.)
Correct Answer: A,B,C,E
Rationale: Heart failure in children presents with poor feeding, tachypnea, lung sounds like wheezes/rales, and peripheral edema. Lying flat worsens symptoms, and urine output decreases due to reduced renal perfusion.
Extract:
A breastfeeding client
Question 3 of 5
Which three (3) assessment findings indicate that the breastfeeding client has achieved a proper latch?
Correct Answer: A,B,D
Rationale: A proper latch is indicated by the infant's tongue cupping the breast with lips flanged, audible swallowing, and a rhythmic sucking pattern, ensuring effective milk transfer. Slurping/clicking or cheek dimpling suggest a shallow latch.
Extract:
A child with a heart defect, weighing 19 pounds
Question 4 of 5
A child with a heart defect has been prescribed a maintenance dose of Lanoxin elixir at 0.07 mg/kg/day, divided into two doses. The child weighs 19 pounds. What is the maximum dose of medication the nurse should administer in each dose?
Correct Answer: 0.30 mg/dose
Rationale: Convert 19 pounds to 8.64 kg.
Total daily dose: 0.07 mg/kg/day * 8.64 kg = 0.6048 mg/day. Per dose: 0.6048 mg / 2 = 0.3024 mg, rounded to 0.30 mg.
Extract:
A client who is 2 days postpartum, breastfeeding, with nipple soreness
Question 5 of 5
A nurse is caring for a client who is 2 days postpartum, is breastfeeding and reports nipple soreness. Which of the following measures should the nurse suggest to reduce discomfort during breastfeeding? (Select All that Apply.)
Correct Answer: A,C,D
Rationale: Applying breast milk, starting with the less sore nipple, and changing positions reduce discomfort. Ice packs and tight bras may worsen soreness or cause complications.