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Ati nur209 pediatrics final assessment 2025
Ati nur209 pediatrics final assessment 2025
Total Questions : 57
Showing 10 questions Sign up for moreA clinic nurse is assessing a client with a suspected diagnosis of endometriosis. Which of the following findings in the client's medical history should the nurse identify as consistent with a diagnosis of endometriosis?
Explanation
A. Severe dysmenorrhea (painful periods) unrelieved by NSAIDs is a hallmark symptom of endometriosis. The condition occurs when endometrial-like tissue grows outside the uterus, leading to inflammation and pain.
B. Incorrect → An atypical Papanicolaou (Pap) smear suggests cervical dysplasia, not endometriosis.
C. Incorrect → While pelvic inflammatory disease (PID) can cause chronic pelvic pain, it is not directly related to endometriosis.
D. Incorrect → Bloating before menses is common in premenstrual syndrome (PMS) and is not a defining feature of endometriosis.
When caring for a 13-year-old with muscular dystrophy receiving corticosteroids to slow disease progression, which of the following medication side effects would you assess for? (Select All that Apply.)
Explanation
A. Incorrect → Chronic fatigue is more related to the disease itself rather than the medication.
B. Mood changes → Corticosteroids can cause mood swings, anxiety, and irritability.
C. Weight gain → Steroids increase appetite and fat distribution, leading to weight gain.
D. Osteoporosis → Long-term corticosteroid use reduces bone density, increasing fracture risk.
E. Incorrect → Corticosteroids generally cause weight gain, not weight loss.
When advising a menopausal woman who opts not to use hormone therapy, which self-care measure should be emphasized as the most important?
Explanation
A. Incorrect → Limiting alcohol and caffeine can help, but it is not as critical as exercise in preventing osteoporosis.
B. Incorrect → Vitamin E and B complex vitamins may offer general health benefits but are not essential for menopause management.
C. Incorrect → Dairy is a key source of calcium, and menopausal women should increase calcium intake to support bone health.
D. Weight-bearing exercises (e.g., walking, strength training) help maintain bone density and reduce the risk of osteoporosis in menopausal women.
Which task is most appropriate for the nurse to delegate to the unlicensed assistive personnel on a pediatric unit?
Explanation
A. Incorrect → Assessing a surgical dressing requires a nurse’s clinical judgment and should not be delegated to a UAP.
B. Incorrect → Calculating the Morse Fall Scale requires assessment skills and is a nursing responsibility.
C. Weighing diapers is a non-clinical task appropriate for unlicensed assistive personnel (UAP). Measuring infant output helps assess hydration and renal function.
D. Incorrect → Assessing developmental milestones requires nursing expertise and is not appropriate for UAP delegation.
Which three (3) assessment findings indicate that the breastfeeding client has achieved a proper latch?
Explanation
A. Infant’s tongue cups under the breast with lips flanged → Ensures a deep latch and effective milk transfer.
B. Audible swallowing → Indicates the infant is effectively receiving milk.
C. Incorrect → A slurping or clicking sound suggests a shallow latch, leading to ineffective feeding.
D. The mother can see a rhythmic sucking pattern → Sign of a successful latch and effective feeding.
E. Incorrect → Dimpling of the infant’s cheeks can indicate poor latch and suction issues.
An 18-hour-old infant with hyperbilirubenemia is placed under phototherapy bank lights. Which of the following is an appropriate intervention for this infant?
Explanation
A. Incorrect → Swaddling prevents light from reaching the skin, reducing therapy effectiveness.
B. Incorrect → Lotions should be avoided as they can cause burns or interfere with light absorption.
C. Incorrect → Eye shields should be removed during feedings to allow bonding and visual stimulation.
D. Maximizing skin exposure ensures effective phototherapy. The infant should wear only a diaper to allow maximum light absorption.
The nurse places an infant with a tracheoesophageal fistula under a radiant warmer with the infant's head elevated at a 45-degree angle. Which statement by the mother indicates an understanding of the most important reason for this position?
Explanation
A. Elevating the head reduces the risk of aspiration, which is the most serious complication of TEF.
B. Incorrect → TEF prevents proper digestion because food cannot pass into the stomach.
C. Incorrect → Positioning does not significantly affect gastric pressure.
D. Incorrect → Lung function is not directly improved by this position. The goal is aspiration prevention.
Which of the following clients would the nurse report as a suspected abuse case?
Explanation
A. Incorrect → A 2-year-old with a forehead bruise is common due to falls during normal play.
B. Incorrect → Splash burns on the front torso may indicate accidental injury rather than intentional harm.
C. Circular abrasions around the wrists suggest binding or restraint injuries, a red flag for abuse.
D. Incorrect → A burn on the palm could be accidental (e.g., touching a hot object). Intentional burns often appear as "glove" or "sock" burns.
A nurse is discussing postpartum depression with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of this condition?
Explanation
A. Incorrect → While PPD can lead to harmful thoughts, harming the infant is not the most common manifestation. More common symptoms include persistent sadness, loss of interest, and fatigue.
B. Incorrect → Psychosis is rare in PPD; it occurs in postpartum psychosis, a separate condition.
C. A history of depression or anxiety is a strong risk factor for postpartum depression (PPD).
D. Incorrect → PPD develops gradually over weeks to months, not within 48 hours (which is more typical of postpartum blues).
The nurse is caring for a newborn born at 30 weeks' gestation. Which assessment finding should the nurse anticipate?
Explanation
A. Lanugo (fine hair) covers most of the body in preterm infants. It helps with heat regulation but decreases as the fetus matures.
B. Incorrect → Flexion of all extremities is seen in term infants. Preterm infants often have hypotonia (decreased muscle tone).
C. Incorrect → Plantar creases are absent or few in preterm infants. Term infants have creases covering the entire sole.
D. Incorrect → Preterm infants have less subcutaneous fat, making them more prone to temperature instability.
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