ATI RN
ATI Nur209 Pediatrics Final Assessment 2025 Questions
Extract:
A full-term infant whose parents are Asian with blue-gray sacral discoloration
Question 1 of 5
When preforming an initial assessment on a full-term infant whose parents are Asian, the nurse notes a blue-gray discoloration across the sacrum of the newborn. What is the most appropriate action for the nurse to take?
Correct Answer: B
Rationale: The correct answer is B: Document the findings in the electronic health record. This action is appropriate because the blue-gray discoloration across the sacrum of the newborn is likely Mongolian spots, a common pigmentation in infants with Asian descent. It is important to document this benign finding to avoid unnecessary interventions or concerns. Reviewing clotting studies (
A) is not relevant to the presentation described. Reporting parents to Child Protective Services (
C) is unwarranted as this discoloration is not indicative of abuse. Notifying the healthcare provider (
D) may not be necessary if the finding is benign and well-documented.
Extract:
A child with sickle cell anemia post-crisis
Question 2 of 5
A nurse is discharging a child who has sickle cell anemia after an acute crisis episode. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Offer fluids to your child multiple times every day. This is important for a child with sickle cell anemia to prevent dehydration, which can trigger a sickle cell crisis. Hydration helps maintain blood flow and prevent the sickling of red blood cells. Restricting outdoor play (choice
A) may limit physical activity, which is important for overall health. Applying cold compresses (choice
C) is not recommended for sickle cell pain as it can worsen vaso-occlusive crisis. Monitoring temperature (choice
D) is important but not as crucial as ensuring proper hydration.
Extract:
Parents of a newborn
Question 3 of 5
The nurse educates the parents on actions to prevent sudden infant death syndrome. Which observation indicates the teaching has been effective?
Correct Answer: B
Rationale: The correct answer is B: Newborn is placed in a bassinet on the back. This is because placing a newborn on their back for sleep is a key recommendation to reduce the risk of sudden infant death syndrome (SIDS) according to the American Academy of Pediatrics. Placing a blanket over the newborn (choice
A) increases the risk of suffocation. An every 2-hour feeding schedule (choice
C) is unrelated to SIDS prevention. Removing a pacifier (choice
D) can actually reduce the risk of SIDS.
Extract:
A newborn whose mother was addicted to heroin
Question 4 of 5
Which nursing interventions are appropriate while caring for a newborn whose mother was addicted to heroin during the pregnancy? (Select All that Apply.)
Correct Answer: C,D,E,F
Rationale:
Correct
Answer: C, D, E, F
Rationale:
C: Swaddle newborn with legs flexed - Helps provide comfort and security to the newborn as they are used to being in a confined space in the womb.
D: Maintain low stimulation environment - Infants exposed to heroin may be sensitive to stimuli, so a quiet environment helps promote relaxation and reduce stress.
E: Offer the newborn a pacifier - Pacifiers can help soothe the baby and provide non-nutritive sucking which can be calming.
F: Administer oral glucose for comfort - Oral glucose can help alleviate symptoms of withdrawal and provide comfort to the newborn.
Summary:
A: Observing the newborn in a well-lit nursery may overstimulate the baby.
B: Feeding half strength formula may not be necessary unless medically indicated.
G: No information provided for this choice.
Extract:
A newborn diagnosed with patent ductus arteriosus (PDA)
Question 5 of 5
The nurse is caring for a newborn diagnosed with patent ductus arteriosus (PDA). Which of the following assessment findings would be consistent with this diagnosis? (Select All that Apply.)
Correct Answer: B,C,F
Rationale: The correct assessment findings consistent with PDA are B, C, and F. Bounding peripheral pulses are due to increased blood flow through the PDA. Wide pulse pressure occurs because of the shunting of blood from the aorta to the pulmonary artery. A continuous 'machinery-like' heart murmur is classic for PDA. Decreased urine output, bradycardia, and cyanosis of the extremities are not typically associated with PDA and suggest other conditions.