ATI NUR 4355 Fall 2025 Final Exam
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Free ATI NUR 4355 Fall 2025 Final Exam Questions
A nurse is caring for a preschool-aged child whose parent asks how to get their child to eat healthier food. Which of the following responses should the nurse make?
- “Preschool-aged children thrive on routine, so you shouldn't change their eating.”
- “As long as they're getting the appropriate calories, you don't need to change their diet.”
- “Preschool-aged children are finicky eaters, so there isn't much you can do except provide what they will eat.”
- “You can offer different foods for them to choose from to provide variety.”
Explanation
Explanation
Preschool-aged children are developing autonomy and preferences in eating. Offering a variety of healthy foods and allowing children to make choices promotes positive eating behaviors, increases acceptance of new foods, and supports balanced nutrition. Rigid routines without variety or catering solely to the child’s current preferences can limit exposure to healthy options. Ensuring calories without considering nutrition and assuming finicky behavior is unchangeable may contribute to poor dietary habits. Providing choice encourages engagement and long-term healthy eating patterns.
Correct Answer Is:
D. “You can offer different foods for them to choose from to provide variety.”Why the other options are incorrect:
Rigid routines without variety or catering solely to the child’s current preferences can limit exposure to healthy options. Ensuring calories without considering nutrition and assuming finicky behavior is unchangeable may contribute to poor dietary habits. Providing choice encourages engagement and long-term healthy eating patterns.A nurse is providing education to the caregiver of a school-age child regarding immunizations to prevent respiratory infections. Which of the following information should the nurse include in the teaching?
- “Most vaccines require only one dose.”
- “The rhinovirus can be prevented with a vaccine.”
- “Children who have underlying respiratory diseases should not receive vaccines.”
- “Early immunization is key to the prevention of illnesses.”
Explanation
Explanation
Early immunization is essential for preventing many serious infectious diseases, including those that affect the respiratory system. Vaccines stimulate the immune system to develop protection before exposure occurs, reducing the severity and spread of illness. Many vaccines require multiple doses for full immunity, there is no vaccine for rhinovirus (the common cold), and children with underlying respiratory conditions often need vaccines even more to protect them from complications.
Correct Answer Is:
D. “Early immunization is key to the prevention of illnesses.”Why the other options are incorrect:
Many vaccines require multiple doses for full immunity, there is no vaccine for rhinovirus (the common cold), and children with underlying respiratory conditions often need vaccines even more to protect them from complications.A nurse is guiding a newly hired nurse on teaching motor skill development in school-age children aged 6 to 12 years. Which statement by the newly hired nurse correctly reflects effective teaching for this age group?
- “Children are expected to count backwards from 20 to 1 by age 7.”
- School-age children demonstrate improved coordination and endurance, allowing participation in activities like running, jumping rope, and team sports.
- Physical development at this stage is minimal, and children do not typically engage in organized physical activities.
- “By age 6, most children can use tools such as a screwdriver or hammer.”
Explanation
Explanation
Between the ages of 6 and 12, children experience significant improvements in gross and fine motor coordination, balance, strength, and endurance. These developmental advances allow them to successfully participate in complex physical activities such as organized sports, running games, and skill-based tasks like jumping rope. Teaching for this age group should encourage physical activity and skill refinement, supporting both physical health and social development.
Correct Answer Is:
B. School-age children demonstrate improved coordination and endurance, allowing participation in activities like running, jumping rope, and team sports.A nurse is caring for a child who has a diagnosis of complete blindness. Which of the following descriptions should the nurse associate with this diagnosis?
- Blurred vision in one eye and clear vision in the other.
- The inability to see objects or any light source.
- A bilateral visual acuity of 20/20.
- A bilateral visual acuity of 20/200 with contact lenses.
Explanation
Explanation
Complete blindness is defined as the total lack of visual perception, including the inability to detect light. Blurred vision in one eye or reduced visual acuity indicates partial vision impairment, not total blindness. A bilateral visual acuity of 20/20 represents normal vision, and 20/200 indicates severe visual impairment but not complete blindness. Accurate identification ensures appropriate interventions and support for the child’s functional needs.
Correct Answer Is:
B. The inability to see objects or any light source.Why the other options are incorrect:
Blurred vision in one eye or reduced visual acuity indicates partial vision impairment, not total blindness. A bilateral visual acuity of 20/20 represents normal vision, and 20/200 indicates severe visual impairment but not complete blindness. Accurate identification ensures appropriate interventions and support for the child’s functional needs.The nurse should recognize that AIDET is a communication tool nurses use to enhance the health care experience for clients and families. Which of the following correctly exemplifies AIDET?
- Accept, introduce, demonstration, explanation, and teach back
- Assessment, implementation, data collection, evaluation, and treatment
- Anticipate, identify, develop, encourage, and talk
- Acknowledge, introduce, duration, explanation, and thank you
Explanation
Explanation
AIDET is a structured communication framework designed to improve patient interactions and satisfaction. It guides healthcare providers to acknowledge the patient, introduce themselves and their role, explain the expected duration of procedures or interactions, provide clear explanations of care, and thank the patient for their time and cooperation. The other options describe unrelated frameworks or processes and do not reflect the standardized AIDET communication principles used in healthcare settings.
Correct Answer Is:
D. Acknowledge, introduce, duration, explanation, and thank youWhy the other options are incorrect:
The other options describe unrelated frameworks or processes and do not reflect the standardized AIDET communication principles used in healthcare settings.A nurse is teaching a newly hired nurse about substance abuse in school-age children who are 6 to 12 years old. Which of the following statements made by the nurse demonstrates understanding of the teaching provided?
- “Children who use tobacco are more likely to use illicit drugs.”
- “Individual treatment is needed for children with substance abuse.”
- “Reports show that children as young as 6 have reported substance use.”
- “Approximately 5 million children under the age of 17 live in households impacted by substance abuse.”
Explanation
Explanation
Early tobacco use is a known risk factor for later experimentation with alcohol and illicit drugs. Nicotine exposure can increase susceptibility to other substances due to behavioral, social, and neurobiological influences. While individualized treatment, early substance use, and household exposure statistics are important considerations, the statement directly highlights a key evidence-based link between early tobacco use and subsequent substance abuse, demonstrating a clear understanding of risk factors in school-age children.
Correct Answer Is:
A. “Children who use tobacco are more likely to use illicit drugs.”Why the other options are incorrect:
While individualized treatment, early substance use, and household exposure statistics are important considerations, the statement directly highlights a key evidence-based link between early tobacco use and subsequent substance abuse, demonstrating a clear understanding of risk factors in school-age children.A nurse is teaching the parents of an infant who has been diagnosed with otitis media (OM) about ways to prevent future OM infections. Which of the following statements by the parents indicates further teaching is needed?
- “We will avoid exposing our baby to secondhand smoke and sick individuals.”
- “Our child can continue to receive breastfeeding.”
- “We do not need to finish the prescribed antibiotic once the baby seems better to avoid unnecessary medication.”
- “We will always feed our baby in an upright position to help prevent ear infections.”
Explanation
Explanation
Antibiotics prescribed for otitis media must be taken for the full course, even if symptoms improve, to ensure complete eradication of the infection. Stopping antibiotics early can allow bacteria to survive, leading to recurrence of infection and increasing the risk of antibiotic resistance. Parents should be taught that completing the entire prescription is essential for effective treatment and prevention of complications.
Correct Answer Is:
C. “We do not need to finish the prescribed antibiotic once the baby seems better to avoid unnecessary medication.”Why the other options are incorrect:
Stopping antibiotics early can allow bacteria to survive, leading to recurrence of infection and increasing the risk of antibiotic resistance. Parents should be taught that completing the entire prescription is essential for effective treatment and prevention of complications.A nurse is assessing a child who has been diagnosed with muscular dystrophy. Which of the following assessment findings should the nurse expect? (Select all that apply.)
- Delayed motor development
- Lung defects
- Scoliosis
- Insomnia
- Muscle weakness
Explanation
Explanation
A. Delayed motor development
Muscular dystrophy causes progressive muscle weakness, which can lead to delays in achieving motor milestones such as walking, running, or climbing stairs.
B. Lung defects
Respiratory muscles are affected as the disease progresses, potentially leading to restrictive lung disease, decreased lung capacity, and increased risk for infections.
C. Scoliosis
Muscle weakness and imbalance can result in spinal deformities, including scoliosis, as the child grows.
E. Muscle weakness
Muscular dystrophy is characterized by progressive, symmetric muscle weakness, often beginning in the proximal muscles of the lower limbs.
Correct Answer Is:
A. Delayed motor developmentB. Lung defects
C. Scoliosis
E. Muscle weakness
A nurse is teaching a newly licensed nurse about assessing children's blood pressure. Which of the following statements made by the newly licensed nurse demonstrates an understanding of the teaching?
- “Routine blood pressure measurements should begin around 1 year of age.”
- “Cuffs are recommended to be 6 to 15 cm or 2 to 6 inches for school-aged children.”
- “Blood pressure measurement is taken over the brachial artery using a manual blood pressure cuff.”
- “The cuff should fit loosely around the child's arm.”
Explanation
Explanation
In children, blood pressure is most accurately measured over the brachial artery using a properly sized manual blood pressure cuff. The brachial artery provides a reliable site for auscultation of Korotkoff sounds, which are necessary for accurate systolic and diastolic readings. Manual measurement is preferred in pediatric clients because automated devices may be less accurate, especially in younger children or those with small arms.
Correct Answer Is:
C. “Blood pressure measurement is taken over the brachial artery using a manual blood pressure cuff.”Why the other options are incorrect:
Manual measurement is preferred in pediatric clients because automated devices may be less accurate, especially in younger children or those with small arms.A 6-year-old child has a superficial partial-thickness burn on the arm. Which nursing goal is most appropriate when planning treatment for this minor burn?
- Apply cool water to the burn for up to 15 minutes, clean gently with mild soap daily, and manage pain with over-the-counter medications.
- Immediately administer IV fluids to prevent hypovolemia and monitor urine output.
- Encourage sun exposure to the burn area to promote vitamin D synthesis and healing.
- Prevent infection by keeping the burn clean and covered with a dry sterile dressing.
Explanation
Explanation
Superficial partial-thickness burns are considered minor burns and are typically managed with first-aid measures. Cooling the burn with cool (not ice-cold) water helps limit tissue damage and reduce pain. Gentle daily cleansing prevents infection, and over-the-counter analgesics are usually sufficient for pain control. IV fluids are unnecessary for minor burns, sun exposure delays healing, and dry dressings are not preferred for this burn depth.
Correct Answer Is:
A. Apply cool water to the burn for up to 15 minutes, clean gently with mild soap daily, and manage pain with over-the-counter medications.Why the other options are incorrect:
IV fluids are unnecessary for minor burns, sun exposure delays healing, and dry dressings are not preferred for this burn depth.How to Order
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