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ATI Paediatrics Final Exam With Answers (99 Solved Questions) - Document preview page 1

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ATI Paediatrics Final Exam With Answers (99 Solved Questions)

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ATI Paediatrics Final Exam With Answers (99 Solved Questions) - Page 1 preview imageATIPEDIATRICSFINALEXAM STUDY GUIDE(99QUESTIONSWITH CORRECT AND VERIFIED ANSWERS)1.Anurseisteachingthemotherofachildwhohascysticfibrosisandhasaprescriptionforpancreaticenzymesthreetimesperday.Whichofthefollowingstatementsindicatesthatthemotherunderstandsthe teaching?“Mychildwilltaketheenzymestoimprovehermetabolism.”“My childwilltaketheenzymes2hoursbeforemeals.”“Mychildwilltaketheenzymesfollowingmeals.”“Mychildwilltaketheenzymestohelpdigestthefatinfoods.”2.Anurseisteachingaparentofachildwithhemophiliahowtocontrolaminorbleedingepisode. Which of the following statements by the parentindicatesa need for furtherteaching?“Iwillhavemychild rest.”“Iwillcompressthesite.”“Iwillapplyheat.”“I will elevatetheaffectedpart.”3.A nurse in an emergency department is caring for an infant who has a 2-day history ofvomitingandanelevatedtemperature.Whichofthefollowingshouldthenurserecognizeasthemostreliableindicatoroffluidloss?BodyweightSkinintegrityBloodpressureRespiratoryrate4.Whichofthefollowingchildrenshouldthenurseidentifyasapotentialactionofabuse?AchildwhohasfrequentvisitorsAchildwhousesthecalllightfrequentlyAchildwhohasa BMIindicatingobesityAchildwhoseparentsanswerquestionsforthechild5.Anurseisassessinga3monthold. Whichofthefollowingfindingsshouldhereporttotheprovider?UnabletopickupanobjectwithhisfingersUnabletositwithoutsupportUnabletoraiseheadwheninpronepositionUnabletobringanobjecttomouth
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ATI Paediatrics Final Exam With Answers (99 Solved Questions) - Page 2 preview image
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ATI Paediatrics Final Exam With Answers (99 Solved Questions) - Page 3 preview image6.Anurseisadmitting a6montholdinfantwhohasdehydration.Whichofthefollowingamounts of urinary output should indicate to the nurse thatthe treatment has confirmedthefluidimbalance?
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ATI Paediatrics Final Exam With Answers (99 Solved Questions) - Page 4 preview image2mL/kg/hr.0.5mL/kg/hr.7.5mL/kg/hr.15mL/kg/hr.7.Anurseisplanningcareforan infantwhohasspinabifidaandistoundergosurgical?Whichofthefollowinginterventionsshouldthenurseincludeintheplanofcare?MaintaintheinfantinthesupinepositionProvidealatexfreeenvironmentLimitvisitorstoimmediatefamilymembersInitiatecontactprecautions8.Anurseiscaringforachildwhohasjustdied.Theparentsasktobeleftalonesothatthey?Thenurse should:Discouragethisbecauseitwill only prolongtheirgriefGranttheirrequestKindlyexplainthattheyneedtosaygoodbyetotheirchildnowandleaveAssesswhytheyfeelthatthisisnecessary9.Anurseiseducatingnewparentsonriskfactorsforsuddeninfantdeathsyndrome(SIDS).Whichofthefollowingstatementsbyaparentwouldindicateaneedforadditionalteaching?“I will givemybaby apacifierduringnapsandat bedtime.”“OurbabywillsleepinmybedbecauseIambreastfeeding.”“Mybabywillbeplaced on her back whensleeping.”“Wewillremoveblanketsandtoysfrom thecrib.”10.A nurse is caring for an adolescent who has spina bifida and is paralyzedfrom the waistdown.Whichofthefollowingstatementsbytheclientwouldindicatetothenurseaneedforfurtherteaching?“Ionlyneedtocatheterizemyselftwiceeveryday.”“Ionlyuseasuppositoryeverynighttohaveabowelmovement.”“IdowheelchairexerciseswhilewatchingTV.”“IcarryawaterbottlewithmebecauseIdrinkalotofwater.”11.Aparenttellsanursethathertoddlerdrinkaquartofmilkadayandhasapoorappetitefor solid foods. The nurse should explain that the toddler isat risk for which of thefollowingdisorders?
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ATI Paediatrics Final Exam With Answers (99 Solved Questions) - Page 5 preview imageRicketsIrondeficiencyanemiaObesity
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ATI Paediatrics Final Exam With Answers (99 Solved Questions) - Page 6 preview imageDiabetesmellitus12.Atoddlerweighs77pounds.WhatistheappropriatemaintenanceIVfluidrate?75mL/hr.45mL/hr.33mL/hr.52mL/hr.13.Anurseiscaringforatoddleradmittedtoapediatricunit.Whichofthefollowingstatementsshouldthe nurseusewhenpreparingtocheckthechild’svitalsigns?“CanyoustandstillwhileI feel howwarmyouare?”“Iamgoingtotakeyourbloodpressurenow.”“Iamgoingtolistentoyourheart.”“CanIlistentoyourlungs?”14.Anurseisprovidingteachingtoaparentofachild whohasceliacdisease.Thenurseshouldincludewhichofthefollowingfoodchoicesforthischild?RyeWheatBarleyRice15.Anurseiscaringforatoddler.Whichofthefollowingstatementsshouldthenurseusewhenpreparingtoobtainthechild’svitalsigns?“Iamgoingtotakeyoubloodpressurenow.”“Canyou standverystillwhileIfeelhowwarmyouare?”“Iamgoingtolistentoyourheart.”“CanIlistentoyourlungs?”16.Anurseispanningcarefora5montholdinfantwhoisscheduledforalumbarpuncturetoruleoutmeningitis. Whichofthefollowingactionsshouldthenurseincludeintheplanofcare?KeeptheinfantNPOfor6hr.priortheprocedurePlacetheinfantinaninfantseatfor2hr.followingtheprocedureHoldtheinfant’schintohischestandkneestohisabdomen
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ATI Paediatrics Final Exam With Answers (99 Solved Questions) - Page 7 preview imageduringtheprocedureApplyaeutecticmixtureof lidocaineandprilocainecreamtopically15min.priortotheprocedure
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ATI Paediatrics Final Exam With Answers (99 Solved Questions) - Page 8 preview image17.Anurseisassessingatoddler whohasacutenephroticsyndrome.Whichofthefollowingfindingsshould thenursereporttotheprovider?PoorappetiteIrritabilityFacialedema18.Aparentcallsaclinicandreportstoanursethathis2oldinfantishungrymorethanusualbutis projectilevomitingimmediatelyaftereating.Whichofthefollowingresponsesshouldthenurse make?“Tryswitchingtoadifferentformula.”“Bringyourbabyintotheclinictoday.”“Giveyourinfantanoralrehydrationsolution.”“Burpyourbabymorefrequentlyduringfeedings.”19.Anurseispanninghome carefora9yearoldchildwhoisdischargedfollowing anacuteasthmaattack.WhichofthefollowinggrowthanddevelopmentalstagesaccordingtoEriksonshouldthenurseconsiderintheplanning?IdentityversusroleconfusionInitiativeversusguiltIndustryversusinferiorityAutonomyversusshameanddoubt20.A nurse is caring for a child who has been physically abused by a familymember. Whichofthefollowingisanappropriatestatementforthenursetosaytothechild?“IpromiseIwon’ttellanyoneaboutthis.”“Yourfamilyisbadfor doingthis toyou.”“Let’sdiscusswhathappenedtogetherwith your family.”“Itisnotyourfaultthatthishappened.”21.Anurse isassessing aninfantwithTrisomy 21(Down’ssyndrome).Whichofthefollowingarecommoncharacteristics?(Selectallthatapply)MuscularhypertonicityLargeearsProtrudingtongueYellownasaldrainage
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ATI Paediatrics Final Exam With Answers (99 Solved Questions) - Page 9 preview imageHyperflexibilityTransversepalmarceases
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ATI Paediatrics Final Exam With Answers (99 Solved Questions) - Page 10 preview image22.A nurse in an emergency department is assessing a 3 year old child who hasa high fever,severedyspnea,andisdrooling.Whichofthefollowinginterventionsisthenurse’spriority?PreparefornasotrachealintubationObtainbloodculturespecimensInsertanIVcatheterAdminister anantipyretic23.Anurseisassessingaclientwhosustainedabasalskullfractureandnotesathinstreamofcleardrainagecomingfromtheclient’srightnostril.Whichofthefollowingactionsshouldthenursetakefirst?AsktheclienttoblowhisnoseSuctionthenostrilNotifythephysicianTestthedrainageforglucose24.Anurseatthepediatrichotlinereceivesacallfromamotherwhoplanstoadministeraspirin (St. Joseph Children’s) to a toddler for afever andwants to know the dosage.Whichofthefollowingstatementsbythenurseisanappropriateresponse?“Giveheracetaminophen,notaspirin.”“Givehernomorethanthreebabyaspirineveryfourhours.”“Followdirectionsontheaspirinbottleforherageandweight.”“You’llhavetocallyourphysician.”25.Anurseisobtainingahealthhistoryfromachildwhohassuspectedacuterheumaticfever.Whichofthefollowingquestionsshouldthenurseask?“Have yougiven yourchildaspirininthepast2weeks?”“Hasyourchildhadany injuriesrecently?”“Hasyoursonhadasorethroatrecently?”“Wasyoursonbornwiththiscardiacdefect?”26.Anurseiscaringforaclientwhohasanunrepairedfemurfractureofthemidshaft.Whichofthefollowingtechniquesshouldthenurseusewhenperforminganassessmentoftheclient’sneurovascularstatus?MeasurethecircumferenceofthethighMonitorthe client’s calffor edemaPalpatethefemoralpulse
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ATI Paediatrics Final Exam With Answers (99 Solved Questions) - Page 11 preview imageInstruct the clienttowigglehistoes27.Anurseiscaringforaclientdiagnosedwithglomerulonephritiswhohasrecurrenthypertensionand edema. Analyzing the client’s lab results inrelationship to his diseaseprocess,thenursewouldexpecttofindanincreaseinwhichvalues?
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ATI Paediatrics Final Exam With Answers (99 Solved Questions) - Page 12 preview imageRBCCreatinineclearanceSpecificgravityBUN28.Anurseispromotingmeningococcal conjugatevaccine(Menactra)atahealthfair.Whichofthefollowingindividualsarecandidatesforthevaccination?An18yearoldyouthwholivesinacollegeA65yearoldpersonwhovolunteersatanelementaryschoolA78yearoldpersonwholivesinanassistedlivinghomeA7yearoldchildwhoattendsdaycarebeforeandafterschool29.A client who is postpartum asks the nurse at a pediatric clinic what todo when hernewborncriespersistently.Which ofthe followingstrategiesshould thenursesuggest?(Selectallthatapply)TurnontheradioSwaddlethenewborninareceivingblanketAllowthenewborntocontinuecryingCarrythenewbornTakethenewbornforarideinthecar30.Anurseisprovidinganticipatoryguidanceaboutchilddevelopmenttotheparentsofapreschooler.Whichofthefollowingdevelopmentaltasksshouldthenurseincludeasbeingexpectedofa preschooler?ParticipatesinimaginaryplayBuilds acollection ofcardsControlsimpulsivefeelingsExpressesneedforprivacy31.Anurseisprovidingeducationtoaschoolagechildwhohasanewdiagnosisofasthma.Whichofthefollowingstatementsshouldthenurseincludeintheteaching?“Usethepeakexpiratoryflowmeteronceperweek.”“You should stopplayingbasketball,butyoucan swiminstead.”“Takecromolynsodium atthefirstsignofbreathingdifficulty.”“Avoidtriggersthatcauseanattack.”32.A nurse is caring for a child who has cystic fibrosis (CF) andis beingdischargedafterinitialdiagnosisandtreatment.Thenurseshouldrecognize that the parent understandsthechild’snutritionalneedswhen
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