ATI RN
ATI Pediatrics Test Bank Questions
Question 1 of 5
Which nursing diagnosis should the nurse expect to see in a plan of care for a client in sickle cell crisis?
Correct Answer: D
Rationale: Sickle cell crisis is characterized by intense pain due to the vaso-occlusive properties of sickled red blood cells leading to tissue ischemia. Therefore, pain is the primary nursing diagnosis that the nurse should expect to see in the plan of care for a client experiencing a sickle cell crisis. Managing and alleviating the pain is a priority in the care of these clients to improve quality of life and prevent complications. Other nursing diagnoses such as imbalanced nutrition, disturbed sleep pattern, and impaired skin integrity may not be directly related to the acute crisis and would not be the priority focus of care in this situation.
Question 2 of 5
Pulmonary complications are the most common problem in caring for AIDS patients. This is caused:
Correct Answer: B
Rationale: Pulmonary complications are the most common problem in caring for AIDS patients due to Pneumocystis pneumonia, also known as Pneumocystis jirovecii pneumonia or PCP. PCP is an opportunistic infection caused by the fungus Pneumocystis jirovecii, previously known as Pneumocystis carinii. This particular type of pneumonia is a prevalent and potentially life-threatening infection in individuals with weakened immune systems, such as those with AIDS. PCP is a major cause of morbidity and mortality in AIDS patients due to the compromised immune system's inability to effectively fight off the infection. Prompt diagnosis and treatment of PCP are crucial in the care of AIDS patients to improve outcomes and reduce the risk of respiratory complications.
Question 3 of 5
Joel's parents ask if-their other children will be affected by the disorder. Which of the following statements should guide the nurse in her response? a.All the girls will be normal and the other son a carrier
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
Which of the ff nursing interventions is essential for a client during the Schilling test?
Correct Answer: A
Rationale: During the Schilling test, which is used to evaluate the absorption of vitamin B12 in the gastrointestinal system, the essential nursing intervention is to collect urine samples 24-48 hours after the client has received nonradioactive B12. The test involves administering both radioactive and nonradioactive forms of vitamin B12 to the client. The client's ability to absorb the vitamin B12 is assessed by measuring the amount of labeled B12 in the urine over the specified time period. This helps in diagnosing conditions such as pernicious anemia or malabsorption of vitamin B12. Blood samples are not typically collected for this test, and allowing fluid consumption is important to keep the client hydrated. The client does not need to lie down in a specific position for an extended period following nonradioactive B12 administration.
Question 5 of 5
For a client with sickle cell anemia, how does the nurse assess for jaundice?
Correct Answer: C
Rationale: In a client with sickle cell anemia, jaundice is a common manifestation due to the breakdown of red blood cells. The nurse should inspect the skin and sclera for signs of jaundice, which presents as a yellow discoloration. This assessment helps in identifying the presence and severity of jaundice in the client, which can be indicative of ongoing hemolysis and the need for further interventions. Monitoring for jaundice is important in managing clients with sickle cell anemia to address complications early and provide appropriate care.