ATI RN
ATI Custom Pediatrics Comprehensive Exam Questions
Extract:
Hemophilic child with leg bruise after fall
Question 1 of 5
Which intervention is a priority for a hemophilic child who has fallen and badly bruised his leg?
Correct Answer: D
Rationale: The correct answer is D: Pressure on the site and administration of the required clotting factor. This is the priority intervention for a hemophilic child who has fallen and badly bruised his leg because hemophilia is a bleeding disorder where the blood does not clot properly. Applying pressure on the site helps control bleeding, and administering the required clotting factor helps replace the missing clotting factor in the child's blood, aiding in clot formation and preventing further bleeding.
Choice A is incorrect because aspirin can worsen bleeding in hemophiliacs.
Choice B is incorrect because immobilization alone does not address the bleeding issue in hemophilia, and ibuprofen can also increase bleeding risk.
Choice C is incorrect because a heating pad can increase blood flow and worsen bleeding, and factor VIII concentrate is the appropriate clotting factor for hemophilia A, not a heating pad.
Extract:
Infant with severe anemia
Question 2 of 5
Which of the following reticulocyte count is an indicator of severe anemia for an infant?
Correct Answer: C
Rationale: The correct answer is C (0.50%). In infants, a reticulocyte count below 1% is indicative of severe anemia due to the immature red blood cells not being produced adequately to compensate for the anemia. A count of 0.50% falls below this critical threshold, signaling a severe deficiency in red blood cell production.
Choices A, B, and D are above 1%, indicating better red blood cell production and less severe anemia.
Extract:
Infant starting new foods
Question 3 of 5
New foods should be introduced to the infant at intervals of
Correct Answer: C
Rationale: The correct answer is C (5 to 7 days). Introducing new foods to infants at intervals of 5 to 7 days allows for proper observation of any potential allergic reactions or adverse effects. This timeframe helps in identifying specific food sensitivities and adjusting the diet accordingly. Option A (1 day) is too short for monitoring reactions. Option B (8 to 10 days) is slightly longer than necessary, potentially delaying the introduction of important nutrients. Option D (2 to 3 days) is shorter and may not provide sufficient time to detect reactions.
Extract:
Client with HIV
Question 4 of 5
A nurse is caring for a client who has HIV. Which of the following laboratory values is the nurse's priority?
Correct Answer: B
Rationale: The correct answer is B: CD4-T-cell count 180 cells/mm³. The CD4-T-cell count is crucial in evaluating the immune status of a person with HIV. A count of 180 cells/mm³ indicates severe immunosuppression and an increased risk of opportunistic infections. Monitoring and maintaining the CD4 count above certain levels are essential for guiding treatment decisions and preventing complications.
Incorrect options:
A: Positive Western blot test - This confirms HIV infection but does not provide information on disease progression or immune status.
C: Platelets 150,000/mm³ - Platelet count is important, but it is not the priority in this scenario as it does not directly reflect the immune function.
D: WBC 5,000/mm³ - White blood cell count is important for assessing overall immune function but not as specific or critical as the CD4 count in HIV management.
Extract:
Toddler with iron deficiency anemia
Question 5 of 5
Which iron-rich foods should the nurse recommend for a toddler-age client who is diagnosed with iron deficiency anemia? (Select all that apply)
Correct Answer: B,C
Rationale: The correct answers are B (Chicken) and C (Lean steak) because they are excellent sources of heme iron, which is more easily absorbed by the body compared to non-heme iron found in plant-based foods like broccoli or carrots (choices A and
D). Whole milk (choice E) should be avoided as it can interfere with iron absorption. In summary, chicken and lean steak are recommended due to their high heme iron content and better bioavailability, while choices A, D, and E are less effective sources of iron for a toddler with iron deficiency anemia.