ATI RN
ATI Pediatrics Final Exam 2025 Questions
Extract:
A nurse is providing care for an infant who has heart failure and is being discharged from the hospital.
Question 1 of 5
When reinforcing discharge education, which of the following clinical manifestations should the nurse ensure caregivers are able to identify as signs of worsening heart failure?
Correct Answer: B
Rationale: Tachypnea, diaphoresis during feeding, poor weight gain, and irritability are classic signs of worsening heart failure in infants due to increased energy demands and hypoxia.
Extract:
The nurse is caring for a pediatric client diagnosed with diabetes mellitus who receives insulin injections.
Question 2 of 5
The nurse demonstrates atraumatic care for a pediatric client receiving insulin injections in this hospital for a new diagnosis of diabetes mellitus with which action?
Correct Answer: B
Rationale: Providing a clear, age-appropriate explanation helps reduce anxiety and fosters trust between the child and the nurse. Understanding what to expect allows the child to feel a sense of control, which is a key principle of atraumatic care.
Extract:
A nurse is collecting data from the chart of a child who has streptococcal pharyngitis after being admitted for suspected rheumatic fever.
Question 3 of 5
Which of the following findings should the nurse identify as an indication of possible rheumatic fever? (Select All that Apply)
Correct Answer: C,E
Rationale: Sydenham's chorea (involuntary movements) and chest pain (indicating carditis) are major criteria for rheumatic fever, resulting from inflammation affecting the basal ganglia and heart, respectively.
Extract:
A nurse is caring for a child who has a new diagnosis of immune thrombocytopenia.
Question 4 of 5
Which of the following information regarding implications of the diagnosis should the nurse reinforce in the discharge instructions?
Correct Answer: D
Rationale: Low platelet counts increase the risk of spontaneous bruising, nosebleeds, and prolonged bleeding, requiring parents to monitor for signs of bleeding.
Extract:
The nurse is reinforcing teaching to the parent of a 7-year-old child who has manifestations consistent with attention deficit hyperactivity disorder (ADHD).
Question 5 of 5
Which of the following statements should the nurse make regarding the screening and diagnosis of ADHD?
Correct Answer: B
Rationale: ADHD diagnosis is based on clinical criteria from the DSM-5, which includes a thorough history, observation of symptoms in multiple settings, and standardized behavior assessments. This ensures an accurate and well-supported diagnosis.