ATI RN
ATI Pediatrics Final Exam 2025 Questions
Extract:
A home health nurse is collecting data on an adolescent who has cystic fibrosis. The child expresses concern about experiencing increasing episodes of respiratory distress.
Question 1 of 5
Which of the following responses should the nurse make?
Correct Answer: C
Rationale: The correct response is C because it demonstrates empathy and active listening, essential skills in nursing practice. By acknowledging the patient's concerns and inviting them to share more about their experience, the nurse builds rapport and gathers valuable information to provide appropriate care. Option A lacks reassurance and direct engagement with the patient's feelings. Option B may be too directive and could escalate the patient's anxiety. Option D provides information without addressing the patient's emotional needs.
Extract:
A nurse is collecting data from a child who has been diagnosed with muscular dystrophy.
Question 2 of 5
Which of the following findings should the nurse expect? (Select All that Apply.)
Correct Answer: A,C,E
Rationale: The correct findings the nurse should expect are delayed motor development (
A), scoliosis (
C), and muscle weakness (E). Delayed motor development can be seen in individuals with certain neuromuscular disorders. Scoliosis is a common musculoskeletal issue in some conditions. Muscle weakness is often present due to neuromuscular involvement. Lung defects (
B) are not typically associated with the mentioned conditions. Insomnia (
D) is a sleep disorder and not a common finding in these conditions.
Choices F and G are not provided but would also likely be incorrect unless relevant to the specific conditions mentioned.
Extract:
The nurse is caring for a pediatric client diagnosed with diabetes mellitus who receives insulin injections.
Question 3 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: The correct answer is B: Explaining the procedure in simple terms to the client before administering the insulin. This is important in pediatric care to reduce fear and anxiety, promote trust, and empower the client in understanding their treatment. By providing information in a clear and age-appropriate manner, the nurse helps the child feel more comfortable and cooperative during the procedure. Administering the injection quickly (
A) may increase the child's anxiety and discomfort. Asking the client to look away (
C) might not address the underlying fear and may lead to increased anxiety. Using a larger needle (
D) is not recommended as it can increase pain and potential tissue damage.
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 4 of 5
Which of the following statements should the nurse make regarding the screening and diagnosis of ADHD?
Correct Answer: B
Rationale: The correct answer is B. The nurse should make a statement regarding the comprehensive evaluation needed for the screening and diagnosis of ADHD because it aligns with evidence-based practice. A comprehensive evaluation involves assessing specific criteria such as detailed history and behavior assessment, which are essential for an accurate diagnosis of ADHD. This approach ensures that the diagnosis is based on objective information rather than assumptions or generalizations. It also allows for a more thorough understanding of the individual's symptoms and functioning, leading to tailored treatment plans.
Choices A, C, and D are incorrect because determining a diagnosis of ADHD based solely on family history, symptoms in one setting, or a blood test are not sufficient or recommended methods for diagnosing ADHD according to clinical guidelines.
Extract:
A nurse is caring for a 13-year-old adolescent in the pediatric emergency room who has a suspected head injury.
Question 5 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Collect data on physical examination. This should be the first action because it allows the nurse to assess the adolescent's current health status, identify any urgent issues, and prioritize care. Administering pain medication (
B) may be needed but should come after assessing the patient. Notifying the primary care provider (
C) and collecting a detailed past medical history (
D) are important but should follow the initial assessment.