Terminal Illness and End of Life

ATI Questions > RN Pediatrics | Posted by Cleveland on May 4, 2026

Question 1

Question:

A nurse is caring for a newborn in a NICU.

A nurse is caring for a newborn in a NICU.

Exhibit 1

2 days ago:

34-week preterm newborn delivered by spontaneous vaginal delivery, diagnosed with trisomy 13 that was not diagnosed prenatally.


The nurse knows the client is most at risk for developing ______as evidenced by the client's

__________


Answer:

The nurse knows the client is most at risk for developing aspiration as evidenced by the clients respiratory assessment.


Question 2

Question:

A nurse is assessing a newborn who has been diagnosed with trisomy 18. Which of the following assessment findings would lead the nurse to this conclusion? (Select all that apply.)


Answer:

Horseshoe kidneys

Lung Defects

Heart valve dysfunction

Scoliosis


Question 3

Question:

A nurse is teaching a parent group about inborn errors of metabolism. Which of the following statements should the nurse make?


Answer:

Approximately 80% of of individuals affected with inborn metabolism experience developmental delay and seizures


Question 4

Question:

A hospice nurse is caring for a pediatric client who is actively dying. The client's dyspnea is upsetting the caregivers. Which of the following actions should the nurse take?


Answer:

Administer Scopolamine


Question 5

Question:

A nurse is caring for a child who has a terminal illness. The caregiver tells the nurse that they do not want to think about or discuss the possibility of death of their child. Which of the following responses should the nurse make


Answer:

How do you feel about scheduling decisive decisions ahead of time?


Question 6

Question:

A nurse is teaching a newly licensed nurse about coping for staff members following the death of a pediatric client. Which of the following statements should the nurse make? (select all that apply)


Answer:

"Varying levels of support for staff should be implemented through post bereavement."

"Nurses may have feelings of numbness, helplessness and guilt."

"debriefing through face to face contact is beneficial for clinicians to cope."

"Nurses may think about the clients who have died when interacting with their own children."


Question 7

Question:

A nurse is providing an education session for the emergency department regarding special considerations when an unexpected pediatric death occurs. Which of the following statements should the nurse make?


Answer:

"Hospital staff should delay discussion with police and coroner to allow the family to assimilate their loss.


Question 8

Question:

A nurse is observing a coworker who is caring for a pediatric client with a terminal illness. Which of the following statements from the coworker suggests they are experiencing burnout?


Answer:

"Working with this family is emotionally exhausting."

"I have a lower education level than the majority of my coworkers."

"I feel guilty because I lack empathy for the client's family.


Question 9

Question:

A nurse is teaching a newly licensed nurse about financial resources. Which of the following statements should the nurse make


Answer:

Medicaid covers hospice for children who have less than 6 months to live


Question 10

Question:

A nurse is caring for a terminally ill client. The caregiver tells the nurse that they are unsure about enrolling their child in palliative care. Which response should the nurse make


Answer:

Can you tell me what is causing your hesitation about making a decision?


Question 11

Question:

A nurse is teaching a newly licensed nurse about the process after a pediatric client dies. Which of the following statements should the nurse include


Answer:

The provider will examine the child for cessation of pupillary and cardiac activity and breathing


Question 12

Question:

A nurse is caring for a pediatric client who is dying and experiencing decreased respiratory drive due to administration of opiates use. Which of the following interventions should the nurse take?


Answer:

Discontinue artificial nutrition and hydration

Position the client to promote drainage of oral secretions

Swab and moisturize the clients mouth

Change linen and absorbent padding regularly.


Question 13

Question:

A nurse is providing a hospital unit education to a group of nurses about lissencephaly. Which of the following statements by one of the nurses shows effective teaching


Answer:

"Children who have lissencephaly may have facial alterations



Question 14

Question:

A hospice nurse is caring for a 1-year old pediatric client who has severe nausea and vomiting. Which of the following should the nurse administer


Answer:

Ondansetron (Zofran)


Question 15

Question:

A nurse is teaching a newly hired nurse about premature births of preterm birth. Which of the following statements should the nurse include


Answer:

"More than 90% of infants born before 28 weeks gestation in low-income areas do not survive"


Question 16

Question:

A nurse is caring for a child who is actively dying. The child's parents ask how long until the child will die. Which of the following responses should the nurse give


Answer:

I don't know for certain; It could be minutes or hours"


Question 17

Question:

A nurse is discussing cardiac death and neurological death with their colleagues. Which of the following statements should the nurse make?


Answer:

"A person can be neurologically pronounced dead while still having cardiac function."
















Question 18

Question:

A nurse is teaching a newly licensed nurse about assisted suicide, the right to die act approved in various states, and implications of child abuse. Which of the following statements by the newly licensed nurse indicates understanding of the teaching?


Answer:

"The United States expanded the definition of child abuse to include withholding medical treatment.


Question 19

Question:

A nurse is educating a recently hired nurse about cultural and spiritual aspects related to death. Which of the following statements should the nurse include in the teaching?


Answer:

"Rituals and traditions should be included in the family's advanced care plan."



Question 20

Question:

A hospice nurse is assessing a pediatric client for pain management. Using the face, legs, activity, cry, consolability (FLACC) scale, which of the following assessment findings should the lead nurse to conclude that the child is in moderate pain?
 


Answer:

Severe agitation, constant temor, and moaning


Question 21

Question:

A nurse is teaching a group of community nurses about HIV. Which of the following statements by one of the nurses shows effective teaching


Answer:

About 85% of pregnant people have access to treatment to prevent vertical transmission."
 


















Question 22

Question:

A nurse is caring for a child who is actively dying but still alert and awake. The child's family is at their bedside. The provider is discussing initiating an organ donation team with the nurse. Which of the following responses should the nurse make


Answer:

"This isn't the time to bring that up."


Question 23

Question:

A nurse is caring for a 16-year-old client who has a terminal illness. The client tells the nurse that they are worried. Which of the following responses should the nurse make?


Answer:

"What are you concerned about?


Question 24

Question:

A palliative care nurse is caring for a 7-year-old pediatric client in moderate pain. Which of the following medications should the nurse administer


Answer:

A low dose of morphine.


Question 25

Question:

A palliative care nurse is caring for a 5-year-old child who has nausea. Which of the following actions should the nurse take? (select all that apply)


Answer:

Eliminate strong odors.

Offer small frequent meals

Provide guided imagery


Question 26

Question:

A nurse is caring for a child who has just died. The family is at the child's bedside and is unaware the child has died. Which of the following statements should the nurse make?


Answer:

Your child has died. I'm sorry for your loss."


Question 27

Question:

A hospice nurse is caring for a child who has a terminal illness. Complete the following sentence by using the lists of options


Answer:

The nurse should first address the client's pain followed by the client's nausea.


Question 28

Question:

The nurse should first address the client's metabolic acidosis

followed by the client's laboratory results


Answer:


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