ATI NGN PEDATRICS PROCTORED
EXAM | QUESTIONS AND VERIFIED
ANSWERS WITH RATIONALE GRADED
A+ | LATEST 2024/2025
A nurse is caring for a school-age child who has primary nephrotic
syndrome and is taking prednisone. Following one week of
treatment, which of the following clinical manifestations indicate to
the nurse that the medication is effective?
A- Decrease edema
B- increased abdominal girth
C- decreased appetite
D- increased protein in the urine
- Correct Answer - A- Decrease edema;
Rationale: A child who has nephrotic syndrome can experience
edema due to the increased glomerular permeability, which
increases protein loss. Prednisone decreases glomerular
permeability, which causes fluid to shift from the extracellular
spaces, decreasing edema.
,A nurse is caring for a toddler who has spastic (pyramidal)
cerebral palsy.
Which of the following clinical manifestations should the nurse
expect? Select all that apply.
A- Negative Babinski reflex
B- Ankle clonus
C- exaggerated stretch reflexes
D- uncontrollable movements of the face
E- contractures
- Correct Answer - B- Ankle clonus
C- exaggerated stretch reflexes
E- contractures;
Rationale: Ankle clonus is correct. A child who has spastic
cerebral palsy will exhibit ankle clonus which isa rhythmic reflex
tremor when the foot is dorsiflexed. Exaggerated stretch reflexes
is correct. A child who has spastic cerebral palsy will exhibit
spasticity or exaggerated stretch reflexes. Contractures is correct.
A child who has spastic cerebral palsy will exhibit contractures
due to the tightening of the muscles.
,A nurse is assessing the vital signs of a 10 year old child following
a burn injury. Which of the following clinical manifestations
indicate early septic shock?
A- Blood pressure 130/ 90
B- heart rate 60/ Minute
C- temperature 39.1 degrees Celsius or 102.4 degrees
Fahrenheit
D- urinary output 100 mL/hr
- Correct Answer - C- temperature 39.1 degrees Celsius or 102.4
degrees Fahrenheit;
Rationale: The nurse should expect a child who has early septic
shock to have a fever and chills.
A nurse is creating a plan of care for a preschooler who has
Wilms tumor and is scheduled for surgery. Which of the following
interventions should the nurse include?
A- Avoid palpating the abdomen when bathing the child before
surgery
, B- refrain from auscultating the child bowel sounds during the
post-operative assessment
C- encourage the child to play with other children on the unit prior
to surgery
D- explain it to the child that his pain will be managed after the
surgery
- Correct Answer - A- Avoid palpating the abdomen when bathing
the child before surgery;
Rationale: The nurse should avoid palpating the abdomen when
bathing the child before surgery because movement of the tumor
can cause cancer cells to disseminate to other sites, adjacent and
distant to the tumor site.
A charge nurse in an emergency department is preparing an in-
service for a group of newly licensed nurses on the clinical
manifestations of child maltreatment. Which of the following
clinical manifestations should the charge
nurse include as suggestive of potential physical abuse?
A- Recurrent urinary tract infections
B- symmetric Burns of the lower extremities
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