ATI RN
ATI Pediatrics Test Bank Questions
Question 1 of 5
The nurse is caring for a patient receiving warfarin therapy. Which of the following findings is essential to report to the physician?
Correct Answer: B
Rationale: An INR of 4 is higher than the normal therapeutic range for patients receiving warfarin therapy, which is typically between 2-3. An INR value above the therapeutic range indicates that the patient is at an increased risk of bleeding complications. Therefore, it is essential to report this finding to the physician for further evaluation and possible adjustment of the warfarin dosage to prevent excessive bleeding. The other values provided (A and C) are within or close to the normal ranges, so they would not warrant immediate concern compared to the elevated INR level.
Question 2 of 5
Which of the ff factors makes it important for the nurse to provide special care to older clients with an immune system disorder?
Correct Answer: A
Rationale: Age-related changes contribute significantly to the vulnerability of older clients with an immune system disorder. As people age, their immune system undergoes various alterations that can compromise its effectiveness in fighting off infections and diseases. These changes include thymic involution (decrease in thymus size and function), decrease in T-cell production, impaired immune response to infections, and decline in overall immune function. Older individuals are more susceptible to infections due to these age-related changes, which makes it essential for nurses to provide special care tailored to their specific needs. By understanding and considering these age-related immune system changes, nurses can develop appropriate care plans to support the health and well-being of older clients with immune system disorders.
Question 3 of 5
The nurse is caring for a patient with HIV. Which of the following foods would the nurse teach the patient is safe to eat to reduce the risk of infection?
Correct Answer: C
Rationale: For a patient with HIV, it is important to reduce the risk of infection by avoiding potentially contaminated foods. Cooked vegetables are safer to eat compared to raw fruits and vegetables since cooking helps to kill harmful pathogens that can be present on raw produce. Caesar dressing, which typically contains raw eggs, should also be avoided as these can pose a risk of foodborne illness for individuals with compromised immune systems like those with HIV. Therefore, the nurse should teach the patient that cooked vegetables are a safer option for reducing the risk of infection.
Question 4 of 5
Which of the following would the nurse identify as an abnormal finding?
Correct Answer: C
Rationale: The normal range for platelets in adults is typically between 150,000 to 400,000 platelets per microliter of blood. A platelet count of 115,000/ul would be considered low, a condition known as thrombocytopenia. Thrombocytopenia can result in difficulty with blood clotting and may lead to increased risk of bleeding. Therefore, a platelet count of 115,000/ul would be identified as an abnormal finding by the nurse.
Question 5 of 5
The nurse provides care for a client with deep partial-thickness burns. What could cause a reduced hematocrit (Hct) in this client?
Correct Answer: B
Rationale: A reduced hematocrit (Hct) in a client with deep partial-thickness burns can be primarily caused by volume overload with hemodilution. In patients with burns, there is an initial shift of fluid from the intravascular space to the interstitial space, leading to a decreased intravascular volume. In response to this hypovolemia, there is an increased release of antidiuretic hormone (ADH) and aldosterone, resulting in retention of water and sodium. This volume overload leads to hemodilution, where the proportion of red blood cells to plasma decreases, causing a reduction in hematocrit levels. This scenario is a common occurrence in clients with burn injuries and helps explain the reduced hematocrit in this client.