Questions 62

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ATI Pediatrics Final Exam 2025 Questions

Extract:

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


Question 1 of 5

Which of the following statements should the nurse make?

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 caring for a child who has chickenpox.


Question 2 of 5

Which of the following medications should the nurse anticipate for the child?

Correct Answer: C

Rationale: Antihistamines help relieve severe itching, a common symptom of chickenpox, reducing scratching and preventing secondary infections.

Extract:

A hospice nurse is reinforcing teaching to a parent about how age affects how their child experiences a terminal illness.


Question 3 of 5

Which of the following statements should the nurse include?

Correct Answer: B

Rationale: Adolescents value independence and autonomy, so a terminal illness that forces them to rely on caregivers can lead to frustration, anger, and emotional distress. This struggle with dependency is a common psychosocial challenge in adolescent patients.

Extract:

A nurse is preparing to administer a dexamethasone 1.5 mg/kg/day PO to divide equally every 6 hr to a preschool-age child who weighs 22 lb. Available is dexamethasone oral solution 1 mg/mL.


Question 4 of 5

How many mL should the nurse administer per dose?

Correct Answer: 3.8

Rationale: Weight = 22 lb / 2.2 = 10 kg. Daily dose = 1.5 mg/kg/day x 10 kg = 15 mg/day. Dose per 6 hr = 15 mg / 4 = 3.75 mg. Volume = 3.75 mg / 1 mg/mL = 3.75 mL, rounded to 3.8 mL.

Extract:

A nurse is assisting in the care of a 3-year-old preschool child who has extreme manifestations of lead poisoning.


Question 5 of 5

Which of the following actions should the nurse perform first?

Correct Answer: B

Rationale: Severe lead poisoning can cause neurological and gastrointestinal symptoms, requiring immediate supportive care to manage symptoms while preparing for further interventions.

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