Extract:

A nurse is assisting with planning care for a 17-year-old client who may have anorexia nervosa (AN).

Question 1 of 5

Which of the following should the nurse recognize as a common reproductive health concern for this client?

A. AmenorrheaB. Increased fertilityC. Early onset of pubertyD. Pelvic inflammatory disease (PID)

Correct Answer: A

Rationale: Anorexia nervosa is associated with severe weight loss and malnutrition, leading to hormonal imbalances that disrupt the menstrual cycle. Decreased estrogen levels result in amenorrhea, which is a hallmark symptom of the disorder and a significant reproductive health concern.

Extract:

A nurse is reinforcing teaching to a newly hired nurse about anencephaly.

Question 2 of 5

Which of the following statements should the nurse make?

A. Anencephaly affects male fetuses more than female fetuses.B. Cancer during pregnancy is a risk factor for anencephaly.C. These defects occur in the embryonic stage of pregnancy.D. Most newborns who have anencephaly survive 1 month.

Correct Answer: C

Rationale: Anencephaly is a neural tube defect that occurs during weeks 3-4 of gestation when the neural tube fails to close properly, leading to severe brain and skull malformations.

Extract:

A nurse is reinforcing teaching to the parent of a terminally ill child about end-of-life care.

Question 3 of 5

Which of the following statements by the parents indicates an understanding of the teaching?

A. My child should not be involved in their treatment plan.B. My child is too young for medication techniques to help with pain.C. Hospice will provide my child with spiritual and mental health care.D. We should not discuss the possibility of death with our child.

Correct Answer: C

Rationale: Hospice care addresses the physical, emotional, and spiritual needs of terminally ill children and their families, including counseling and grief resources.

Extract:

A nurse is reinforcing teaching to the parents of a 6-year-old child who has fragile X-syndrome and is manifesting cognitive delays.

Question 4 of 5

Which of the following statements concerning coordination of care should the nurse reinforce?

A. You should focus solely on cognitive development at home, as professional interventions are not effective for children with fragile X syndrome.B. Since your child has cognitive delays, you should avoid social activities that could overwhelm them and hinder their progress.C. It's important to work with a multidisciplinary team to address your child's cognitive delays and support their development.D. Cognitive delays in children with fragile X syndrome typically resolve on their own, so there is no need for specialized educational plans or therapies.

Correct Answer: C

Rationale: A multidisciplinary team ensures individualized support for cognitive, social, and communication skills in children with fragile X syndrome.

Extract:

A nurse is reinforcing teaching to the parents of a 2-month-old infant who has Down Syndrome.

Question 5 of 5

Which of the following statements addressing cognitive ability should the nurse reinforce?

A. Cognitive abilities in children with Down syndrome cannot be improved, so focusing on physical health is the only priority.B. Infants who have Down syndrome typically have significantly higher IQ scores compared to typically developing infants.C. Early intervention programs can mitigate cognitive impairments in infants who have Down syndrome.D. Cognitive abilities of infants who have Down syndrome are typically within the average range during the first year of life.

Correct Answer: C

Rationale: Early stimulation, structured learning environments, and specialized therapies can help optimize the child's cognitive potential and improve adaptive skills.

Nurselytic

ATI RN

ATI RN

ATI Pediatrics Final Exam 2025 Questions

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