ATI Pediatrics Final Exam Study Guide with Answers (99 Solved Questions)

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ATIPEDIATRICSFINALEXAM 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?•Bodyweight•Skinintegrity•Bloodpressure•Respiratoryrate4.Whichofthefollowingchildrenshouldthenurseidentifyasapotentialactionofabuse?•Achildwhohasfrequentvisitors•Achildwhousesthecalllightfrequently•Achildwhohasa BMIindicatingobesity•Achildwhoseparentsanswerquestionsforthechild5.Anurseisassessinga3monthold. Whichofthefollowingfindingsshouldhereporttotheprovider?•Unabletopickupanobjectwithhisfingers•Unabletositwithoutsupport•Unabletoraiseheadwheninproneposition•Unabletobringanobjecttomouth

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6.Anurseisadmitting a6montholdinfantwhohasdehydration.Whichofthefollowingamounts of urinary output should indicate to the nurse thatthe treatment has confirmedthefluidimbalance?

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•2mL/kg/hr.•0.5mL/kg/hr.•7.5mL/kg/hr.•15mL/kg/hr.7.Anurseisplanningcareforan infantwhohasspinabifidaandistoundergosurgical?Whichofthefollowinginterventionsshouldthenurseincludeintheplanofcare?•Maintaintheinfantinthesupineposition•Providealatexfreeenvironment•Limitvisitorstoimmediatefamilymembers•Initiatecontactprecautions8.Anurseiscaringforachildwhohasjustdied.Theparentsasktobeleftalonesothatthey?Thenurse should:•Discouragethisbecauseitwill only prolongtheirgrief•Granttheirrequest•Kindlyexplainthattheyneedtosaygoodbyetotheirchildnowandleave•Assesswhytheyfeelthatthisisnecessary9.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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•Rickets•Irondeficiencyanemia•Obesity

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•Diabetesmellitus12.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?•Rye•Wheat•Barley•Rice15.Anurseiscaringforatoddler.Whichofthefollowingstatementsshouldthenurseusewhenpreparingtoobtainthechild’svitalsigns?•“Iamgoingtotakeyoubloodpressurenow.”•“Canyou standverystillwhileIfeelhowwarmyouare?”•“Iamgoingtolistentoyourheart.”•“CanIlistentoyourlungs?”16.Anurseispanningcarefora5montholdinfantwhoisscheduledforalumbarpuncturetoruleoutmeningitis. Whichofthefollowingactionsshouldthenurseincludeintheplanofcare?•KeeptheinfantNPOfor6hr.priortheprocedure•Placetheinfantinaninfantseatfor2hr.followingtheprocedure•Holdtheinfant’schintohischestandkneestohisabdomen

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duringtheprocedure•Applyaeutecticmixtureof lidocaineandprilocainecreamtopically15min.priortotheprocedure

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17.Anurseisassessingatoddler whohasacutenephroticsyndrome.Whichofthefollowingfindingsshould thenursereporttotheprovider?••Poorappetite•Irritability•Facialedema18.Aparentcallsaclinicandreportstoanursethathis2oldinfantishungrymorethanusualbutis projectilevomitingimmediatelyaftereating.Whichofthefollowingresponsesshouldthenurse make?•“Tryswitchingtoadifferentformula.”•“Bringyourbabyintotheclinictoday.”•“Giveyourinfantanoralrehydrationsolution.”•“Burpyourbabymorefrequentlyduringfeedings.”19.Anurseispanninghome carefora9yearoldchildwhoisdischargedfollowing anacuteasthmaattack.WhichofthefollowinggrowthanddevelopmentalstagesaccordingtoEriksonshouldthenurseconsiderintheplanning?•Identityversusroleconfusion•Initiativeversusguilt•Industryversusinferiority•Autonomyversusshameanddoubt20.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)•Muscularhypertonicity•Largeears•ProtrudingtongueYellownasaldrainage

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•Hyperflexibility•Transversepalmarceases

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22.A nurse in an emergency department is assessing a 3 year old child who hasa high fever,severedyspnea,andisdrooling.Whichofthefollowinginterventionsisthenurse’spriority?•Preparefornasotrachealintubation•Obtainbloodculturespecimens•InsertanIVcatheter•Administer anantipyretic23.Anurseisassessingaclientwhosustainedabasalskullfractureandnotesathinstreamofcleardrainagecomingfromtheclient’srightnostril.Whichofthefollowingactionsshouldthenursetakefirst?•Asktheclienttoblowhisnose•Suctionthenostril•Notifythephysician•Testthedrainageforglucose24.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?•Measurethecircumferenceofthethigh•Monitorthe client’s calffor edema•Palpatethefemoralpulse

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•Instruct the clienttowigglehistoes27.Anurseiscaringforaclientdiagnosedwithglomerulonephritiswhohasrecurrenthypertensionand edema. Analyzing the client’s lab results inrelationship to his diseaseprocess,thenursewouldexpecttofindanincreaseinwhichvalues?

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•RBC•Creatinineclearance•Specificgravity•BUN28.Anurseispromotingmeningococcal conjugatevaccine(Menactra)atahealthfair.Whichofthefollowingindividualsarecandidatesforthevaccination?•An18yearoldyouthwholivesinacollege•A65yearoldpersonwhovolunteersatanelementaryschool•A78yearoldpersonwholivesinanassistedlivinghome•A7yearoldchildwhoattendsdaycarebeforeandafterschool29.A client who is postpartum asks the nurse at a pediatric clinic what todo when hernewborncriespersistently.Which ofthe followingstrategiesshould thenursesuggest?(Selectallthatapply)•Turnontheradio•Swaddlethenewborninareceivingblanket•Allowthenewborntocontinuecrying•Carrythenewborn•Takethenewbornforarideinthecar30.Anurseisprovidinganticipatoryguidanceaboutchilddevelopmenttotheparentsofapreschooler.Whichofthefollowingdevelopmentaltasksshouldthenurseincludeasbeingexpectedofa preschooler?•Participatesinimaginaryplay•Builds acollection ofcards•Controlsimpulsivefeelings•Expressesneedforprivacy31.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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