ATI RN
ATI Nur 307 Pediatrics Final Exam Questions
Extract:
Question 1 of 5
Which behaviors by the nurse indicate a therapeutic relationship with children and families? Select all that apply.
Correct Answer: B,C,E
Rationale: The correct behaviors for a therapeutic relationship with children and families are B, C, and E. Asking questions shows engagement and fosters communication. Clarifying information demonstrates understanding and promotes trust. Learning about religious preferences shows respect for cultural beliefs. Buying toys may not be appropriate or therapeutic. Spending off-duty time blurs professional boundaries.
Extract:
A nurse is admitting a 6-month-old infant who has dehydration.
Question 2 of 5
Which of the following amounts of urinary output should indicate to the nurse that the treatment has corrected the fluid imbalance?
Correct Answer: A
Rationale: The correct answer is A: 2 mL/kg/hr. This amount indicates adequate urinary output, which signals that the treatment has corrected the fluid imbalance. Adequate urinary output ensures proper kidney function and fluid balance.
Choice B (7.5 mL/kg/hr) is too high and may indicate fluid overload.
Choice C (0.5 mL/kg/hr) is too low and suggests dehydration or renal issues.
Choice D (15 mL/kg/hr) is also too high and could indicate overhydration or kidney dysfunction.
Therefore, choice A is the most appropriate as it falls within the normal range of urinary output.
Extract:
A nurse is assessing a child who has nephrotic syndrome.
Question 3 of 5
Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Facial edema. Facial edema is a common finding in patients with nephrotic syndrome due to fluid retention. This is caused by the loss of protein in the urine, leading to low albumin levels and fluid accumulation in the tissues. Hypertension (choice
A) is not a typical finding in nephrotic syndrome unless severe volume overload occurs. Smokey brown urine (choice
C) may indicate rhabdomyolysis, not typically seen in nephrotic syndrome. Polyuria (choice
D) is more commonly associated with conditions like diabetes insipidus, not nephrotic syndrome.
Therefore, based on the pathophysiology of nephrotic syndrome, facial edema is the most expected finding.
Extract:
An acute care nurse is caring for a pediatric client diagnosed with diabetes mellitus who receives insulin injections.
Question 4 of 5
Which of the following actions by the nurse demonstrates atraumatic care?
Correct Answer: D
Rationale: The correct answer is D. Explaining the procedure in simple terms to the client before administering the insulin demonstrates atraumatic care by providing information and reducing anxiety. This approach empowers the client, promotes trust, and enhances understanding.
Choice A may reduce anxiety but does not involve communication or education.
Choice B using a larger needle can cause more discomfort.
Choice C rushing the injection may increase discomfort.
Choices E, F, and G are not provided.
Extract:
A nurse is teaching the parents of a school-age child about palliative care.
Question 5 of 5
Which of the following statements should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: The primary goal of palliative care is to improve your child's quality of life. This is the correct statement to include because palliative care aims to provide relief from the symptoms and stress of a serious illness, with the goal of improving the quality of life for both the child and the family.
Rationale:
1. Palliative care focuses on providing comfort and support to the child and family, rather than solely on curing the illness.
2. It addresses physical, emotional, social, and spiritual needs, aiming to enhance the overall well-being of the child.
3. Palliative care can be integrated alongside curative treatment to improve the child's quality of life throughout the illness.
4. By prioritizing quality of life, palliative care helps the child and family navigate the challenges of a serious illness with dignity and compassion.
Summary of Other
Choices:
A: Incorrect - Palliative care can begin at any stage of a serious illness, not just when a specific prognosis