ATI RN
ATI Nur 307 Pediatrics Final Exam Questions
Extract:
A nurse is providing anticipatory guidance about child development to the parents of a preschooler.
Question 1 of 5
Which of the following developmental tasks should the nurse include as being expected of a preschooler?
Correct Answer: A
Rationale: The correct answer is A: Participates in imaginary play. Preschoolers typically engage in imaginary play as part of their cognitive and social development. This helps them explore their creativity, problem-solving skills, and social interactions. Building a collection of cards (
B) is more common among older children and does not align with typical preschooler behavior. Expressing a need for privacy (
C) is a more complex emotional task that preschoolers may not fully grasp. Controlling impulsive feelings (
D) is a skill that preschoolers are still developing, so it is not typically an expected task at this age.
Extract:
A nurse is providing care to an infant newly diagnosed with sickle cell anemia.
Question 2 of 5
Which of the following statements should the nurse include about sickled red blood cells? Select all that apply.
Correct Answer: B,D,E
Rationale: The correct answers are B, D, and E. B is correct because sickled red blood cells have an abnormal shape that causes them to clump together, leading to blockages in blood vessels. D is correct because the rigid shape of sickled cells makes it hard for them to pass through smaller vessels, causing further blockages. E is correct because sickled cells have a shorter lifespan due to being more fragile, leading to a decreased number of functional red blood cells in circulation.
Choices A and C are incorrect as sickled cells are not flexible and do not have a long lifespan.
Extract:
A nurse is assessing a school-age child immediately postoperative following a perforated appendix.
Question 3 of 5
Which of the following finding should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Absence of peristalsis. In a patient with peritonitis, the nurse would expect the absence of peristalsis due to inflammation and irritation of the peritoneum. This finding is indicative of a serious condition requiring immediate medical attention.
A: A WBC of 6,000/mm3 is within normal range and may not specifically indicate peritonitis.
B: Purulent nasogastric drainage suggests infection but is not specific to peritonitis.
C: Passage of dark red stool with mucus may indicate gastrointestinal bleeding, which is not directly related to peritonitis.
Extract:
A nurse is caring for an adolescent who has spina bifida and is paralyzed from the waist down.
Question 4 of 5
Which of the following statements by the client should indicate to the nurse a need for further teaching?
Correct Answer: B
Rationale: The correct answer is B. This statement indicates a need for further teaching because catheterization should typically be done every 4-6 hours to prevent urinary retention and infection. The other choices demonstrate good self-care habits: A indicates adequate hydration, C shows a regular bowel routine, and D illustrates engagement in physical activity. It is important for the nurse to address any misconceptions or gaps in knowledge regarding the appropriate frequency of catheterization to ensure the client's well-being.
Extract:
A nurse is teaching the parents of a toddler who has a cognitive impairment about toilet training.
Question 5 of 5
Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A because positive reinforcement, such as awarding a sticker, helps reinforce desired behavior, in this case, sitting on the potty chair. This method encourages the child to repeat the behavior.
Choice B may distract the child from focusing on the task.
Choice C can overwhelm the child with too much information.
Choice D is counterproductive as scolding can lead to negative associations with toileting.